Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12269 | Date 26/10/2024 |
| Token No | SM/24-25/19458 26/10/2024 | Serial | 003 |
| Patient Name | Mr. MOHON BARAT | Contact No | 9007474965 |
| Address | 14 HOSPITAL LANE | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||