Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04225 | Date 31/03/2021 |
| Token No | SM/21-22/219 05/05/2021 | Serial | 007 |
| Patient Name | Mr. SURENDRA KUMAR PASWAN | Contact No | 9163072583 |
| Address | 4 NOTUN BAGAN LANE | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||