Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09693 | Date 20/07/2023 |
| Token No | SM/22-23/11041 20/07/2023 | Serial | 001 |
| Patient Name | Mr. MUNNA LAL SHA | Contact No | 7890026271 |
| Address | 3 DOSTI LANE | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||