Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11935 | Date 09/08/2024 |
| Token No | SM/24-25/18106 09/08/2024 | Serial | 045 |
| Patient Name | Mr. PIYUSH SHAW | Contact No | 9330586579 |
| Address | 23 BAJAR BYE LANE | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||