Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09164 | Date 23/05/2023 |
| Token No | SM/22-23/9778 23/05/2023 | Serial | 017 |
| Patient Name | Mr. BABU SINGH | Contact No | 6289637491 |
| Address | 55 RAYLAND ROAD | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||