Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08395 | Date 20/02/2023 |
| Token No | SM/22-23/7973 20/02/2023 | Serial | 031 |
| Patient Name | Mr. PREM AGARWAL | Contact No | 8240845855 |
| Address | 65 DEY STREET | Age | 16 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||