Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04722 | Date 13/08/2021 |
| Token No | SM/22-23/4592 18/08/2022 | Serial | 002 |
| Patient Name | Mr. AMIT MALIK | Contact No | 7981028858 |
| Address | 11 A B GARDEN LANE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||