Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10986 | Date 20/12/2023 |
| Token No | SM/24-25/19679 13/11/2024 | Serial | 010 |
| Patient Name | Mr. CHANDRA PRAKASH LAL SRIVASTAV | Contact No | 7044131217 |
| Address | 147A MANIKTALA DEY BAGAN | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||