Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10404 | Date 14/09/2023 |
| Token No | SM/22-23/12489 14/09/2023 | Serial | 029 |
| Patient Name | Mr. RANJAN PARIYALI | Contact No | 9875497069 |
| Address | PAL BAGAN | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||