Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06417 | Date 20/07/2022 |
| Token No | SM/22-23/3943 20/07/2022 | Serial | 027 |
| Patient Name | Mr. NILESH PASWAN | Contact No | NOT GIVEN |
| Address | R B SARANI | Age | 68 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||