Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06171 | Date 21/06/2022 |
| Token No | SM/22-23/3515 21/06/2022 | Serial | 008 |
| Patient Name | Mr. LAL CHAND PATWA | Contact No | NOT GIVEN |
| Address | 106/B R.B SARANI | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||