Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10138 | Date 25/08/2023 |
| Token No | SM/22-23/11974 25/08/2023 | Serial | 016 |
| Patient Name | Mr. YOGESH JAISWARA | Contact No | 8902004551 |
| Address | 10 DEY GHAT LANE | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||