Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11907 | Date 07/08/2024 |
| Token No | SM/24-25/17972 07/08/2024 | Serial | 015 |
| Patient Name | Mr. SANTOSH BARAD | Contact No | 8910446317 |
| Address | 12 P[ITAMBAR DEY LANE | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||