Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03002 | Date 06/09/2019 |
| Token No | SM/22-23/6011 04/11/2022 | Serial | 008 |
| Patient Name | Mr. SACHIN BISWAL | Contact No | 8697088466 |
| Address | 10 K D B LANE, DOSTI LANE | Age | 15 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||