Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07231 | Date 13/10/2022 |
| Token No | SM/22-23/5478 13/10/2022 | Serial | 022 |
| Patient Name | Mr. AMAN PATWA | Contact No | 7596922778 |
| Address | 62/A RAILAND ROAD | Age | 20 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||