Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05465 | Date 22/02/2022 |
| Token No | SM/22-23/13445 30/11/2023 | Serial | 001 |
| Patient Name | Mr. ARUN KUMAR BAGUI | Contact No | 8274869640 |
| Address | 53 AKHRA BATI LANE | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||