Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06592 | Date 03/08/2022 |
| Token No | SM/22-23/10409 22/06/2023 | Serial | 011 |
| Patient Name | Mr. KAMLI JAISWAL | Contact No | 9163210250 |
| Address | HOSPITAL LANE | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||