Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06276 | Date 05/07/2022 |
| Token No | SM/22-23/11265 31/07/2023 | Serial | 011 |
| Patient Name | Mr. SHANKAR PASWAN | Contact No | 8334966134 |
| Address | MAHESH BOSEPARA | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||