Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10361 | Date 12/09/2023 |
| Token No | SM/22-23/12410 12/09/2023 | Serial | 015 |
| Patient Name | Mr. AJAY SINGH | Contact No | 7486845430 |
| Address | INDIA JUTE MILL | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||