Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04498 | Date 15/06/2021 |
| Token No | SM/21-22/431 15/06/2021 | Serial | 001 |
| Patient Name | Mr. CHHABI KHAN | Contact No | 8777674507 |
| Address | BORA JHANKARI | Age | 38 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||