Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12288 | Date 30/10/2024 |
| Token No | SM/24-25/19535 30/10/2024 | Serial | 028 |
| Patient Name | Mr. BINOD KUMAR SHAH | Contact No | 8583947200 |
| Address | 8/387 COKREN ROAD | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||