Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11659 | Date 14/06/2024 |
| Token No | SM/24-25/16897 14/06/2024 | Serial | 005 |
| Patient Name | Mr. KAMAL KANTA KOLE | Contact No | 9903140022 |
| Address | BARA HAWAKHANA | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||