Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 02326 | Date 20/06/2019 |
| Token No | SM/22-23/14668 08/02/2024 | Serial | 017 |
| Patient Name | Mr. MAHADEB KOHAR | Contact No | 9123622530 |
| Address | 162 G.T. ROAD | Age | 76 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||