Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04430 | Date 02/06/2021 |
| Token No | SM/21-22/329 02/06/2021 | Serial | 001 |
| Patient Name | Mr. KISHORE MALIK | Contact No | 6297113152 |
| Address | DIARA | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||