Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08140 | Date 09/01/2023 |
| Token No | SM/22-23/7418 09/01/2023 | Serial | 006 |
| Patient Name | Mr. RAKESH KUMAR | Contact No | 9546542522 |
| Address | RAILAND CIRCULAR ROAD | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||