Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07176 | Date 10/10/2022 |
| Token No | SM/22-23/5386 10/10/2022 | Serial | 019 |
| Patient Name | Mr. GUNJAN KUMAR | Contact No | 8084104542 |
| Address | 103 R B SARANI | Age | 17 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||