Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12449 | Date 12/12/2024 |
| Token No | SM/24-25/20160 12/12/2024 | Serial | 003 |
| Patient Name | Mr. RAHUL KOIRI | Contact No | 8168842769 |
| Address | DEY STREET | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||