Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12131 | Date 23/09/2024 |
| Token No | SM/24-25/18943 23/09/2024 | Serial | 022 |
| Patient Name | Mr. KRISHNA KOIRI | Contact No | 8777793724 |
| Address | 51 POTUA PARA LANE | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||