Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02369 | Date 01/08/2022 |
| Token No | SM/22-23/1763 01/08/2022 | Serial | 043 |
| Patient Name | Mr. MUKESH KUMAR PANDEY | Contact No | 7980421691 |
| Address | 96 S K NAGAR RISHRA PRABASHNAGAR 712249 | Age | 37 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||