Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12466 | Date 18/12/2024 |
| Token No | SM/24-25/20267 18/12/2024 | Serial | 019 |
| Patient Name | Mr. AJIT THAKUR | Contact No | 9836989599 |
| Address | 3/A PITAMBAR DEY LANE | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||