Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 02998 | Date 29/10/2022 |
| Token No | SM/22-23/3846 29/10/2022 | Serial | 020 |
| Patient Name | Mr. BECHARAM SHEET | Contact No | 9836930528 |
| Address | 27 DAKSHINPARA LANE RISHRA M | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||