Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11598 | Date 03/06/2024 |
| Token No | SM/24-25/16629 03/06/2024 | Serial | 016 |
| Patient Name | Mr. GENALAL SAHANI | Contact No | NOT GIVEN |
| Address | RADHABALLAV FERRY GHAT | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||