Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11445 | Date 25/04/2024 |
| Token No | SM/24-25/15976 25/04/2024 | Serial | 014 |
| Patient Name | Mr. DHANANJAY KUMAR | Contact No | 8276919600 |
| Address | 10 RAM SITA LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||