Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11118 | Date 08/02/2024 |
| Token No | SM/22-23/14684 08/02/2024 | Serial | 033 |
| Patient Name | Mr. CHANDAN KUMAR | Contact No | 7439041141 |
| Address | 3 G.T. ROAD, PACHU BAZAR | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||