Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 05073 | Date 23/11/2021 |
| Token No | SM/22-23/5201 19/09/2022 | Serial | 020 |
| Patient Name | Mr. MUNNA SINGH | Contact No | NOT GIVEN |
| Address | 52 DHULI PARA LANE | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||