Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05329 | Date 04/10/2023 |
| Token No | SM/22-23/13898 04/10/2023 | Serial | 015 |
| Patient Name | Mr. PANKAJ GROVER | Contact No | 8585877953 |
| Address | 38 S K NAGAR RISHRA M 712249 | Age | 27 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||