Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02450 | Date 09/07/2019 |
| Token No | SM/22-23/7521 18/01/2023 | Serial | 002 |
| Patient Name | Mr. KASHINATH MALIK | Contact No | 7439087253 |
| Address | 9 ANNADA BABU GARDEN LANE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||