Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07825 | Date 28/11/2022 |
| Token No | SM/22-23/9818 24/05/2023 | Serial | 020 |
| Patient Name | Mr. CHHOTELAL RAM | Contact No | 9088248711 |
| Address | 5 DOSTI LANE | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||