Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06827 | Date 29/08/2022 |
| Token No | SM/24-25/16663 05/06/2024 | Serial | 001 |
| Patient Name | Mr. RAM CHANDRA METE | Contact No | 9674261549 |
| Address | 11 A B GARDEN LANE | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||