Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07562 | Date 09/11/2022 |
| Token No | SM/22-23/6122 09/11/2022 | Serial | 015 |
| Patient Name | Mr. ROHIT YADAV | Contact No | 6289099656 |
| Address | 56 AKHRA BATI LANE | Age | 15 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||