Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08269 | Date 07/02/2023 |
| Token No | SM/22-23/7711 07/02/2023 | Serial | 006 |
| Patient Name | Mr. SHYAMPAL SINGH | Contact No | 8057803117 |
| Address | 1 DEY GHAT LANE | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||