Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11312 | Date 23/03/2024 |
| Token No | SM/22-23/15417 23/03/2024 | Serial | 009 |
| Patient Name | Mr. YOGENDRA VERMA | Contact No | 9477935773 |
| Address | 96 DEY STREET | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||