Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06258 | Date 30/06/2022 |
| Token No | SM/22-23/3698 30/06/2022 | Serial | 007 |
| Patient Name | Mr. SARAD KUMAR | Contact No | 8981883942 |
| Address | 13/A R B SARANI | Age | 35 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||