Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08945 | Date 02/05/2023 |
| Token No | SM/22-23/9314 02/05/2023 | Serial | 026 |
| Patient Name | Mr. SUDARSHAN RAI | Contact No | 9355769405 |
| Address | RAM SITA LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||