Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08938 | Date 02/05/2023 |
| Token No | SM/22-23/9303 02/05/2023 | Serial | 015 |
| Patient Name | Mr. ADARSH RAI | Contact No | NOT GIVEN |
| Address | 12 NO LINE | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||