Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07714 | Date 18/11/2022 |
| Token No | SM/22-23/6435 18/11/2022 | Serial | 006 |
| Patient Name | Mr. ASISH LAL PASWAN | Contact No | 7003946606 |
| Address | BOSE PARA | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||