Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08098 | Date 03/01/2023 |
| Token No | SM/22-23/7329 03/01/2023 | Serial | 005 |
| Patient Name | Mr. BHARAT SINGH | Contact No | 9065093437 |
| Address | INDIA JUTE MILL | Age | 81 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||