Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09505 | Date 30/06/2023 |
| Token No | SM/22-23/10516 30/06/2023 | Serial | 019 |
| Patient Name | Mr. LACHMAN KUMAR | Contact No | 8443861927 |
| Address | 4/C LBS ROAD | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||