Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08863 | Date 25/04/2023 |
| Token No | SM/22-23/9156 25/04/2023 | Serial | 029 |
| Patient Name | Mr. RAMANUJ JAISWARA | Contact No | NOT GIVEN |
| Address | BLC MILLS ROAD | Age | 51 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||