Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08365 | Date 17/02/2023 |
| Token No | SM/22-23/14719 09/02/2024 | Serial | 008 |
| Patient Name | Mr. PYARE LAL GUPTA | Contact No | 9830313680 |
| Address | 112 R B SARANI | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||