Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12115 | Date 20/09/2024 |
| Token No | SM/24-25/18887 20/09/2024 | Serial | 007 |
| Patient Name | Mr. MANOJ RAY | Contact No | 8368297716 |
| Address | RAM SITA LANE | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||