Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12698 | Date 24/02/2025 |
| Token No | SM/24-25/21102 24/02/2025 | Serial | 022 |
| Patient Name | Mr. SUBHASH AGARWAL | Contact No | 8240045142 |
| Address | 52 LBS ROAD | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||