Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07889 | Date 06/12/2022 |
| Token No | SM/22-23/6824 06/12/2022 | Serial | 001 |
| Patient Name | Mr. ROHIT VERMA | Contact No | 6392717736 |
| Address | 13 L B S ROAD | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||