Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05786 | Date 05/05/2022 |
| Token No | SM/24-25/19034 26/09/2024 | Serial | 016 |
| Patient Name | Mr. SANKAR SAHANI | Contact No | 9007649019 |
| Address | THAKUR BATI STREET | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||