Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12015 | Date 29/08/2024 |
| Token No | SM/24-25/18457 29/08/2024 | Serial | 021 |
| Patient Name | Mr. CHOTE LAL HELA | Contact No | 9163756719 |
| Address | 11 DOSTI LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||