Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12682 | Date 21/02/2025 |
| Token No | SM/24-25/21048 21/02/2025 | Serial | 008 |
| Patient Name | Mr. SURENDRA SHAW | Contact No | 8274046200 |
| Address | 125/A G.T. ROAD MANIKTALA | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||