Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10589 | Date 29/09/2023 |
| Token No | SM/22-23/12822 29/09/2023 | Serial | 022 |
| Patient Name | Mr. AJAY KUMAR PRASAD | Contact No | 7667686404 |
| Address | 122 R.B. SARANI | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||