Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09181 | Date 26/05/2023 |
| Token No | SM/22-23/9835 26/05/2023 | Serial | 013 |
| Patient Name | Mr. SURESH AGARWAL | Contact No | 9477859521 |
| Address | 65 DEY STREET FLAT 408 | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||