Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09503 | Date 30/06/2023 |
| Token No | SM/24-25/15937 24/04/2024 | Serial | 006 |
| Patient Name | Mr. LAXMAN KUMAR | Contact No | 8443861927 |
| Address | 4/C LBS ROAD | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||