Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12777 | Date 13/03/2025 |
| Token No | SM/24-25/21314 13/03/2025 | Serial | 003 |
| Patient Name | Mr. DENALAL SAHANI | Contact No | NOT GIVEN |
| Address | SMASAN KALI MANDIR | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||