Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03246 | Date 25/11/2022 |
| Token No | SM/22-23/4714 25/11/2022 | Serial | 001 |
| Patient Name | Mr. RAHUL KR SHAW | Contact No | 6291496489 |
| Address | 153 J C TEXTILES RISHRA M 712249 | Age | 17 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||