Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09085 | Date 17/05/2023 |
| Token No | SM/22-23/9627 17/05/2023 | Serial | 021 |
| Patient Name | Mr. KRISHNA LAL MAHATO | Contact No | 9687458400 |
| Address | JHAUTALA | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||