Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 09591 | Date 10/07/2023 |
| Token No | SM/22-23/10781 10/07/2023 | Serial | 033 |
| Patient Name | Mr. JAMUNALAL TANTI | Contact No | NOT GIVEN |
| Address | JUBILI BASTI | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||