Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08689 | Date 04/04/2023 |
| Token No | SM/22-23/9426 06/05/2023 | Serial | 005 |
| Patient Name | Mr. SUMIT SHAW | Contact No | 9088704746 |
| Address | 97/F/5 PRAVAS NAGAR | Age | 21 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||