Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12265 | Date 24/10/2024 |
| Token No | SM/24-25/19449 24/10/2024 | Serial | 010 |
| Patient Name | Mr. SHANKAR SAHANI | Contact No | 8961615009 |
| Address | THAKUR BATI STREET | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||