Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09425 | Date 21/06/2023 |
| Token No | SM/22-23/10359 21/06/2023 | Serial | 005 |
| Patient Name | Mr. MUKESH SINGH | Contact No | 9433669852 |
| Address | B P DEY STREET | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||