Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12201 | Date 04/10/2024 |
| Token No | SM/24-25/19196 04/10/2024 | Serial | 031 |
| Patient Name | Mr. ARVIND KUMAR | Contact No | 6290014255 |
| Address | 55 RAY LAND ROAD | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||