Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12403 | Date 28/11/2024 |
| Token No | SM/24-25/19953 28/11/2024 | Serial | 004 |
| Patient Name | Mr. AKHTAR ALI | Contact No | 9681320041 |
| Address | 1A/7 S S ROAD, PRAVAS NAGAR, RISHRA | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||