Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05692 | Date 18/04/2022 |
| Token No | SM/22-23/2700 18/04/2022 | Serial | 009 |
| Patient Name | Mr. ANKIT BHARTI... | Contact No | 9432946864 |
| Address | 79 DEY STREET | Age | 9 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||