Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11609 | Date 05/06/2024 |
| Token No | SM/24-25/16685 05/06/2024 | Serial | 023 |
| Patient Name | Mr. DEEPNARAYAN THAKUR | Contact No | 8910841044 |
| Address | 84 DEY STREET | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||