Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05611 | Date 07/11/2023 |
| Token No | SM/22-23/15267 07/11/2023 | Serial | 041 |
| Patient Name | Mr. ASHOK KUMAR TANTI | Contact No | 7003329970 |
| Address | 670/A S K NAGAR RISHRA M 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||