Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07506 | Date 04/11/2022 |
| Token No | SM/22-23/6004 04/11/2022 | Serial | 001 |
| Patient Name | Mr. DHARMENDAR SINGH | Contact No | 8276919600 |
| Address | RAM SITA LANE | Age | 65 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||