Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10101 | Date 23/08/2023 |
| Token No | SM/22-23/11887 23/08/2023 | Serial | 009 |
| Patient Name | Mr. HARINDER SINGH | Contact No | 7890240150 |
| Address | 57/71 RAY LAND ROAD | Age | 53 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||