Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13824 | Date 04/12/2025 |
| Token No | SM/25-26/2867 04/12/2025 | Serial | 002 |
| Patient Name | Mr. HARINDAR BHARTI | Contact No | 8981944375 |
| Address | 79 DEY STREET | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||