Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12143 | Date 25/09/2024 |
| Token No | SM/24-25/18987 25/09/2024 | Serial | 001 |
| Patient Name | Mr. D KUMAR | Contact No | 9432000153 |
| Address | 96 DEY STREET, BSNL OFFICE | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||