Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08940 | Date 02/05/2023 |
| Token No | SM/22-23/14048 03/01/2024 | Serial | 005 |
| Patient Name | Mr. RABI SHANKAR MISHRA | Contact No | 7980464213 |
| Address | 6/182 COCKRAIN ROAD | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||