Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03949 | Date 16/03/2023 |
| Token No | SM/22-23/7601 16/03/2023 | Serial | 026 |
| Patient Name | Mr. DEWAL KR. PASWAN | Contact No | 8583811273 |
| Address | 20, BOSE PARA LANE | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||