Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02912 | Date 27/08/2019 |
| Token No | SM/22-23/14430 25/01/2024 | Serial | 028 |
| Patient Name | Mr. RAMESHWAR KOIRI | Contact No | 8820645711 |
| Address | 17 BARAL BAGAN | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||