Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03982 | Date 06/07/2020 |
| Token No | SM/24-25/17391 06/07/2024 | Serial | 029 |
| Patient Name | Mr. CHANDAN SINGH | Contact No | 9432792496 |
| Address | 25 BARAL BAGAN | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||