Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11528 | Date 14/05/2024 |
| Token No | SM/24-25/16241 14/05/2024 | Serial | 001 |
| Patient Name | Mr. RAJU RAO | Contact No | 9330693158 |
| Address | 18 NO LINE | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||