Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07207 | Date 12/10/2022 |
| Token No | SM/22-23/11448 08/08/2023 | Serial | 006 |
| Patient Name | Mr. SURENDAR SINGH | Contact No | 9088318955 |
| Address | 103 R B SARANI | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||