Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10602 | Date 30/09/2023 |
| Token No | SM/24-25/15665 08/04/2024 | Serial | 024 |
| Patient Name | Mr. RAJU THAKUR | Contact No | 7890800912 |
| Address | 22/A BOSE PARA LANE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||