Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04265 | Date 01/06/2023 |
| Token No | SM/22-23/9237 01/06/2023 | Serial | 021 |
| Patient Name | Mr. MD SAMEER | Contact No | 7439566163 |
| Address | 15 A K AZAD ROAD RISHRA M 712248 | Age | 12 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||