Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11626 | Date 10/06/2024 |
| Token No | SM/24-25/16758 10/06/2024 | Serial | 007 |
| Patient Name | Mr. LAKSHMAN PRASAD | Contact No | 7054505458 |
| Address | 3 DOSTI LANE | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||