Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08162 | Date 11/01/2023 |
| Token No | SM/22-23/7475 11/01/2023 | Serial | 023 |
| Patient Name | Mr. ANANDA HARUI | Contact No | 9674476638 |
| Address | HARIPAL | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||