Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04582 | Date 24/07/2023 |
| Token No | SM/22-23/10860 24/07/2023 | Serial | 028 |
| Patient Name | Mr. JITENDRA KUMAR SHAW | Contact No | 8820062273 |
| Address | 969 S K NAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||