Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09068 | Date 16/05/2023 |
| Token No | SM/22-23/9595 16/05/2023 | Serial | 009 |
| Patient Name | Mr. BALIRAM PASWAN | Contact No | 9433382325 |
| Address | 3 DOSTI LANE | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||