Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06865 | Date 02/09/2022 |
| Token No | SM/22-23/4808 02/09/2022 | Serial | 004 |
| Patient Name | Mr. PAPPU SHARMA. | Contact No | 9007843887 |
| Address | 3B DEY STREET | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||