Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09664 | Date 18/07/2023 |
| Token No | SM/22-23/10972 18/07/2023 | Serial | 006 |
| Patient Name | Mr. KANAI PASWAN | Contact No | 7605837230 |
| Address | PACHU BABUR BAZAR, RAYLAND ROAD | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||