Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05893 | Date 18/12/2023 |
| Token No | SM/22-23/16640 18/12/2023 | Serial | 033 |
| Patient Name | Mr. PRADIP KUMAR YADAV | Contact No | 8777538651 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||