Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08287 | Date 07/02/2023 |
| Token No | SM/24-25/19823 21/11/2024 | Serial | 018 |
| Patient Name | Mr. ROHIT RAM | Contact No | 6290849434 |
| Address | 7 DEY GHAT LANE | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||