Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11862 | Date 29/07/2024 |
| Token No | SM/24-25/17800 29/07/2024 | Serial | 027 |
| Patient Name | Mr. JAGDISH RAJBHAR | Contact No | 9123330450 |
| Address | 10 DEY STREET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||