Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 07025 | Date 13/09/2022 |
| Token No | SM/22-23/5075 13/09/2022 | Serial | 001 |
| Patient Name | Mr. AMAN KAIRI | Contact No | 9707999707 |
| Address | 17/B BHAGIRATHI LANE | Age | 16 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||