Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06595 | Date 03/08/2022 |
| Token No | SM/24-25/18977 24/09/2024 | Serial | 007 |
| Patient Name | Mr. POTOL BAGH | Contact No | 7044897895 |
| Address | 34 R B SARANI | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||