Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09772 | Date 25/07/2023 |
| Token No | SM/22-23/11186 25/07/2023 | Serial | 016 |
| Patient Name | Mr. PRADIP GUPTA | Contact No | 9163679618 |
| Address | 98C R B SARANI | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||