Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06886 | Date 02/09/2022 |
| Token No | SM/22-23/4833 02/09/2022 | Serial | 029 |
| Patient Name | Mr. ONKAR SINGH | Contact No | 9674139165 |
| Address | RAYLAND ROAD | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||