Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11422 | Date 20/04/2024 |
| Token No | SM/24-25/15851 20/04/2024 | Serial | 001 |
| Patient Name | Mr. RAKESH RAM | Contact No | 8910048681 |
| Address | 5 DEY GHAT LANE | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||