Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06004 | Date 07/06/2022 |
| Token No | SM/22-23/3238 07/06/2022 | Serial | 004 |
| Patient Name | Mr. RITTIK SINGH | Contact No | |
| Address | PRAVAS NAGAR | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||