Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07676 | Date 14/08/2024 |
| Token No | SM/24-25/26636 14/08/2024 | Serial | 036 |
| Patient Name | Mr. KARAN RAJ | Contact No | 7604078278 |
| Address | 50 SAI MANDIR RISHRA M 712249 | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||