Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04889 | Date 21/08/2023 |
| Token No | SM/22-23/12238 23/08/2023 | Serial | 043 |
| Patient Name | Mr. HEMANT KUMAR YADAV | Contact No | 7044105529 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||