Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10660 | Date 05/10/2023 |
| Token No | SM/22-23/12980 05/10/2023 | Serial | 026 |
| Patient Name | Mr. SURAJ KUMAR | Contact No | 9771935308 |
| Address | RAMSHIT ALNE | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||