Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09047 | Date 15/05/2023 |
| Token No | SM/22-23/9563 15/05/2023 | Serial | 016 |
| Patient Name | Mr. AJITESH AGRAHARI | Contact No | 6291839121 |
| Address | 82 DEY STREET | Age | 53 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||