Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10155 | Date 28/08/2023 |
| Token No | SM/22-23/12004 28/08/2023 | Serial | 006 |
| Patient Name | Mr. ASHOK MAL | Contact No | 9674307420 |
| Address | 25 NO LELIN SRANI | Age | 68 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||