Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04840 | Date 31/08/2021 |
| Token No | SM/22-23/9265 28/04/2023 | Serial | 027 |
| Patient Name | Mr. RAHUL THAKUR | Contact No | 8707859856 |
| Address | 5B DEY BARI | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||