Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08738 | Date 10/04/2023 |
| Token No | SM/22-23/8800 10/04/2023 | Serial | 024 |
| Patient Name | Mr. BIRENDAR SINGH | Contact No | 8582881235 |
| Address | 8/396 INDIA JUTE MILL | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||