Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07911 | Date 19/09/2024 |
| Token No | SM/24-25/28403 19/09/2024 | Serial | 031 |
| Patient Name | Mr. PANNALAL JAISWAL | Contact No | |
| Address | 15 NO KAPURIA PATTI SERAMPORE | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||