Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09727 | Date 21/07/2023 |
| Token No | SM/22-23/14581 05/02/2024 | Serial | 010 |
| Patient Name | Mr. MAHESH GUPTA | Contact No | NOT GIVEN |
| Address | 96 R.B. SARANI | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||