Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08319 | Date 10/02/2023 |
| Token No | SM/22-23/10063 09/06/2023 | Serial | 003 |
| Patient Name | Mr. LAL BABU THAKUR | Contact No | 8478090040 |
| Address | 96 R B SARANI | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||