Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13810 | Date 01/12/2025 |
| Token No | SM/25-26/2840 01/12/2025 | Serial | 024 |
| Patient Name | Mr. RAJNARAYAN SAH | Contact No | 8651261439 |
| Address | 6NO NAWABAGAN, RAM SITA LANE | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||