Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12319 | Date 11/11/2024 |
| Token No | SM/24-25/19655 11/11/2024 | Serial | 021 |
| Patient Name | Mr. MANOJ KUMAR KHATICK | Contact No | 9339108565 |
| Address | 70, DEYSTREET | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||