Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06563 | Date 29/07/2022 |
| Token No | SM/24-25/20741 28/01/2025 | Serial | 005 |
| Patient Name | Mr. DILIP SHARMA | Contact No | 9123988255 |
| Address | 29 SHIBTALA LANE | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||