Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08904 | Date 27/04/2023 |
| Token No | SM/22-23/14942 26/02/2024 | Serial | 011 |
| Patient Name | Mr. MONGAL SINGH | Contact No | 9123813706 |
| Address | PANCHANAN TALA LANE, RAY LAND ROAD | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||