Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11884 | Date 02/08/2024 |
| Token No | SM/24-25/17873 02/08/2024 | Serial | 003 |
| Patient Name | Mr. RANJIT MODOK | Contact No | 9903691809 |
| Address | 519 G T ROAD, MAHESH | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||