Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05752 | Date 28/11/2023 |
| Token No | SM/22-23/15891 28/11/2023 | Serial | 028 |
| Patient Name | Mr. SHATRIDHAN SINGH | Contact No | 9038904885 |
| Address | GHORAMARA MALLIKPARA 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||