Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08446 | Date 23/02/2023 |
| Token No | SM/22-23/8051 23/02/2023 | Serial | 020 |
| Patient Name | Mr. RAJESHWAR PRASAD | Contact No | 8820497235 |
| Address | 43 PANCHANAN TALA LANE | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||