Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06370 | Date 19/07/2022 |
| Token No | SM/22-23/3883 19/07/2022 | Serial | 006 |
| Patient Name | Mr. RUPESH KUMAR... | Contact No | NOT GIVEN |
| Address | 84 DEY STREET | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||