Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09871 | Date 04/08/2023 |
| Token No | SM/22-23/11389 04/08/2023 | Serial | 017 |
| Patient Name | Mr. RAJU PASWAN | Contact No | 9330512524 |
| Address | BARALBAGAN | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||