Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 07780 | Date 23/11/2022 |
| Token No | SM/22-23/9243 28/04/2023 | Serial | 005 |
| Patient Name | Mr. BIKASH MAL | Contact No | 9830715709 |
| Address | 25 LENIN SARANI | Age | 55 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||