Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06305 | Date 19/02/2024 |
| Token No | SM/22-23/18761 19/02/2024 | Serial | 039 |
| Patient Name | Mr. SHANI KUMAR | Contact No | 7605826182 |
| Address | 1/P/82 PRAVASHNAGAR RISHRA M 712249 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||