Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01998 | Date 22/06/2022 |
| Token No | SM/22-23/778 23/06/2022 | Serial | 027 |
| Patient Name | Mr. RAKESH SHAH | Contact No | 7890996678 |
| Address | GHORAMARA CHAKLAPARA SERAMPORE 712203 | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||