Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10767 | Date 09/11/2023 |
| Token No | SM/22-23/13258 09/11/2023 | Serial | 007 |
| Patient Name | Mr. SUMIT SHARMA | Contact No | 8981257641 |
| Address | 4 BUROBIBI LANE | Age | 33 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||