Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11799 | Date 16/07/2024 |
| Token No | SM/24-25/17556 16/07/2024 | Serial | 016 |
| Patient Name | Mr. RAMSAKHI RAI | Contact No | 8478090326 |
| Address | BARALBAGAN LANE | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||