Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09407 | Date 19/06/2023 |
| Token No | SM/22-23/10329 19/06/2023 | Serial | 016 |
| Patient Name | Mr. SUBHAM PADIYALI | Contact No | 8695234820 |
| Address | INDIA JUTE MILL | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||