Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09671 | Date 18/07/2023 |
| Token No | SM/22-23/10982 18/07/2023 | Serial | 016 |
| Patient Name | Mr. SANJAY SINGH | Contact No | 6291737131 |
| Address | 66 DEY ST | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||