Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07570 | Date 09/11/2022 |
| Token No | SM/22-23/6134 09/11/2022 | Serial | 027 |
| Patient Name | Mr. PUNILAL SHA | Contact No | NOT GIVEN |
| Address | PRAVAS NAGAR | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||