Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05628 | Date 01/04/2022 |
| Token No | SM/22-23/2584 01/04/2022 | Serial | 005 |
| Patient Name | Mr. MITHILESH SINGH | Contact No | NOT GIVEN |
| Address | TIN BAZAR | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||