Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08204 | Date 31/01/2023 |
| Token No | SM/22-23/7587 31/01/2023 | Serial | 034 |
| Patient Name | Mr. DIPAK GUPTA | Contact No | 9088053373 |
| Address | 15 LBS ROAD | Age | 29 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||