Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07419 | Date 26/10/2022 |
| Token No | SM/22-23/5842 26/10/2022 | Serial | 026 |
| Patient Name | Mr. KAMLESH SINGH | Contact No | 6392425589 |
| Address | 57 RAYLAND ROAD | Age | 20 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||