Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07097 | Date 20/09/2022 |
| Token No | SM/24-25/20608 20/01/2025 | Serial | 009 |
| Patient Name | Mr. DEODHAR KUMAR | Contact No | 7368073699 |
| Address | RAM SITA LANE | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||