Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04724 | Date 16/08/2021 |
| Token No | SM/24-25/16434 23/05/2024 | Serial | 004 |
| Patient Name | Mr. SONU BHARTI | Contact No | NOT GIVEN |
| Address | DHULIPARA | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||