Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03488 | Date 28/11/2019 |
| Token No | SM/22-23/8488 22/03/2023 | Serial | 035 |
| Patient Name | Mr. SANDEEP PRAJAPATI | Contact No | 9836078533 |
| Address | BARAL BAGAN | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||