Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11359 | Date 03/04/2024 |
| Token No | SM/24-25/20106 09/12/2024 | Serial | 025 |
| Patient Name | Mr. SHRI MOHAN MAJHI | Contact No | 9051045548 |
| Address | DEY STREET, AKNA PARA | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||