Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10989 | Date 21/12/2023 |
| Token No | SM/22-23/13967 21/12/2023 | Serial | 012 |
| Patient Name | Mr. JAYPRAKASH PANDEY | Contact No | 7980871342 |
| Address | 51 S.P. MUKHERJEE SARANI | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||