Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12620 | Date 06/02/2025 |
| Token No | SM/24-25/20847 06/02/2025 | Serial | 003 |
| Patient Name | Mr. NAGENDAR PRASAD | Contact No | 9162792539 |
| Address | RAM SITA LANE | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||