Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07143 | Date 27/09/2022 |
| Token No | SM/24-25/20922 12/02/2025 | Serial | 007 |
| Patient Name | Mr. YADAV LAL GUPTA | Contact No | 9830313680 |
| Address | 112 R B SARANI | Age | 82 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||