Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04529 | Date 18/07/2023 |
| Token No | SM/22-23/10633 18/07/2023 | Serial | 018 |
| Patient Name | Mr. SATYAM YADAV | Contact No | 9883621732 |
| Address | 23 S D MUKHERJEE LANE RISHRA M 712248 | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||