Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12100 | Date 13/09/2024 |
| Token No | SM/24-25/18784 13/09/2024 | Serial | 002 |
| Patient Name | Mr. BABLU SINGH | Contact No | 6290872147 |
| Address | 55 ROYLAND ROAD | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||