Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08212 | Date 01/02/2023 |
| Token No | SM/22-23/7606 01/02/2023 | Serial | 001 |
| Patient Name | Mr. RAM BHARAT CHAUHAN | Contact No | NOT GIVEN |
| Address | 10 DEY STREET | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||