Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11967 | Date 16/08/2024 |
| Token No | SM/24-25/18207 16/08/2024 | Serial | 010 |
| Patient Name | Mr. JITENDRA PASWAN | Contact No | 7003876072 |
| Address | PACHU BABU BAZAR | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||