Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07210 | Date 12/10/2022 |
| Token No | SM/22-23/5438 12/10/2022 | Serial | 007 |
| Patient Name | Mr. MURARI MOHON ROY | Contact No | 9830203563 |
| Address | 7 G T ROAD | Age | 78 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||