Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08000 | Date 21/12/2022 |
| Token No | SM/22-23/15453 27/03/2024 | Serial | 033 |
| Patient Name | Mr. RANJIT PRASAD | Contact No | 6291801221 |
| Address | NAYA BASTI | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||