Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09049 | Date 15/05/2023 |
| Token No | SM/22-23/9566 15/05/2023 | Serial | 019 |
| Patient Name | Mr. LAXMINARAYAN MAHATO | Contact No | NOT GIVEN |
| Address | 12 NO LINE | Age | 64 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||