Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12285 | Date 30/10/2024 |
| Token No | SM/24-25/19526 30/10/2024 | Serial | 019 |
| Patient Name | Mr. SUDHIR CHOUDHARI | Contact No | 9123763018 |
| Address | 55 RAYLAND ROAD | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||