Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10471 | Date 22/09/2023 |
| Token No | SM/22-23/14411 25/01/2024 | Serial | 009 |
| Patient Name | Mr. PARAMESWAR PRASAD | Contact No | 9163623151 |
| Address | 3 DOSTI LANE | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||