Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07017 | Date 12/09/2022 |
| Token No | SM/22-23/5059 12/09/2022 | Serial | 006 |
| Patient Name | Mr. SHANKAR SAHANI | Contact No | NOT GIVEN |
| Address | THAKUR BATI STREET | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||