Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08521 | Date 13/03/2023 |
| Token No | SM/22-23/15394 21/03/2024 | Serial | 035 |
| Patient Name | Mr. MANOJ PANDEY | Contact No | 9432435557 |
| Address | 51 S P MUKHERJEE ROAD | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||