Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07507 | Date 04/11/2022 |
| Token No | SM/22-23/6005 04/11/2022 | Serial | 002 |
| Patient Name | Mr. MONOJ PASWAN | Contact No | 9874347040 |
| Address | ITKHOLA | Age | 40 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||