Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06033 | Date 08/01/2024 |
| Token No | SM/22-23/17322 08/01/2024 | Serial | 038 |
| Patient Name | Mr. ASHOK PRASAD | Contact No | 9330113125 |
| Address | 256 S K NAGAR PRAVASHNAGAR RISHRA M 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||