Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07884 | Date 05/12/2022 |
| Token No | SM/24-25/19975 29/11/2024 | Serial | 005 |
| Patient Name | Mr. MUNNA LAL SHA | Contact No | 6200397019 |
| Address | 3 DOSTI LANE | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||