Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06247 | Date 29/06/2022 |
| Token No | SM/22-23/3676 29/06/2022 | Serial | 004 |
| Patient Name | Mr. SANJAY MALIK | Contact No | 9477526433 |
| Address | A B GARDEN LANE | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||