Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12159 | Date 28/09/2024 |
| Token No | SM/24-25/19060 28/09/2024 | Serial | 013 |
| Patient Name | Mr. RAJDEV SINGH | Contact No | 7003282035 |
| Address | 1 DEY GHAT LANE | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||