Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09484 | Date 23/06/2023 |
| Token No | SM/22-23/10463 23/06/2023 | Serial | 033 |
| Patient Name | Mr. SUDHIR KUMAR SHA | Contact No | 9062897184 |
| Address | 6 RAM SITA LANE | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||