Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05116 | Date 26/11/2021 |
| Token No | SM/21-22/1520 26/11/2021 | Serial | 007 |
| Patient Name | Mr. CHANDAN SINGH... | Contact No | 9432792496 |
| Address | 25 BORAL BAGAN | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||