Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11987 | Date 21/08/2024 |
| Token No | SM/24-25/18330 21/08/2024 | Serial | 044 |
| Patient Name | Mr. ROHIT JOT | Contact No | 6289430407 |
| Address | 10 DOSTI LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||