Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09136 | Date 22/05/2023 |
| Token No | SM/22-23/9732 22/05/2023 | Serial | 010 |
| Patient Name | Mr. CHITTARANJAN SHARMA | Contact No | 8820460080 |
| Address | 40B DOSTI LANE | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||