Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04934 | Date 27/09/2021 |
| Token No | SM/22-23/13923 19/12/2023 | Serial | 015 |
| Patient Name | Mr. RAMPRIT YADAV | Contact No | NOT GIVEN |
| Address | DEY GHAT LANE | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||