Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05931 | Date 24/05/2022 |
| Token No | SM/24-25/16413 22/05/2024 | Serial | 025 |
| Patient Name | Mr. AJAY SINGH | Contact No | 6290003036 |
| Address | 103 R B SARANI | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||