Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05076 | Date 07/09/2023 |
| Token No | SM/22-23/12774 07/09/2023 | Serial | 002 |
| Patient Name | Mr. MOHANLAL SHOW | Contact No | 9748389098 |
| Address | 182/G/1 SHREE KRISHNANAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||