Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04092 | Date 25/04/2023 |
| Token No | SM/22-23/16218 06/12/2023 | Serial | 014 |
| Patient Name | Mr. LALU SINGH | Contact No | 6290186340 |
| Address | 704 S K NAGAR PRABASHNAGAR RISHRA M 712249 | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||