Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06460 | Date 25/07/2022 |
| Token No | SM/22-23/10232 15/06/2023 | Serial | 019 |
| Patient Name | Mr. HARKESH YADAV | Contact No | 6290490967 |
| Address | 2 RUDRARAM PANDIT LANE | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||