Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08685 | Date 31/03/2023 |
| Token No | SM/22-23/9319 02/05/2023 | Serial | 031 |
| Patient Name | Mr. SURAJ RAI | Contact No | 9823921882 |
| Address | 7 RAM SITA LINE | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||