Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09669 | Date 18/07/2023 |
| Token No | SM/22-23/10979 18/07/2023 | Serial | 013 |
| Patient Name | Mr. RAMJI SHAW | Contact No | 8910936678 |
| Address | 22 LBS ROAD | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||