Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09378 | Date 16/06/2023 |
| Token No | SM/22-23/10275 16/06/2023 | Serial | 011 |
| Patient Name | Mr. PINTU BHARTI | Contact No | 7044243827 |
| Address | JHAUTALA | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||