Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06217 | Date 27/06/2022 |
| Token No | SM/22-23/3610 27/06/2022 | Serial | 006 |
| Patient Name | Mr. ADITYA PRASAD. | Contact No | 7890220664 |
| Address | 106 R B SARANI | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||