Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09092 | Date 17/05/2023 |
| Token No | SM/22-23/9637 17/05/2023 | Serial | 031 |
| Patient Name | Mr. MOHAN JAISWARA... | Contact No | |
| Address | DEY GHAT LANE | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||