Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09290 | Date 12/06/2023 |
| Token No | SM/22-23/11382 04/08/2023 | Serial | 010 |
| Patient Name | Mr. AMAN SINGH | Contact No | 8582997805 |
| Address | 55 RAY LAND ROAD | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||