Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12106 | Date 17/09/2024 |
| Token No | SM/24-25/19818 21/11/2024 | Serial | 013 |
| Patient Name | Mr. JASWINDER SINGH | Contact No | 9903136662 |
| Address | 119 THAKURBATI STREET | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||