Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05850 | Date 17/05/2022 |
| Token No | SM/22-23/4496 12/08/2022 | Serial | 005 |
| Patient Name | Mr. LALIT LAL SHAW | Contact No | 9088704746 |
| Address | 97/F/5 PRAVASH NAGAR | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||