Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09565 | Date 07/07/2023 |
| Token No | SM/24-25/19100 30/09/2024 | Serial | 024 |
| Patient Name | Mr. DINESH CHOUBEY | Contact No | 9883966816 |
| Address | 21 RAY GHAT LANE | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||