Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10650 | Date 05/10/2023 |
| Token No | SM/24-25/16707 06/06/2024 | Serial | 009 |
| Patient Name | Mr. KRIPAL RAY | Contact No | 7091902226 |
| Address | RAM SITA LANE | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||