Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11163 | Date 20/02/2024 |
| Token No | SM/22-23/14817 20/02/2024 | Serial | 026 |
| Patient Name | Mr. RAVI SINGH | Contact No | |
| Address | 17 AKHRABATI LANE | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||