Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10400 | Date 14/09/2023 |
| Token No | SM/22-23/12485 14/09/2023 | Serial | 025 |
| Patient Name | Mr. SUMIT JAISWARA | Contact No | 6289559174 |
| Address | 7 DEY GHAT LANE | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||