Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06366 | Date 01/03/2024 |
| Token No | SM/22-23/19260 01/03/2024 | Serial | 021 |
| Patient Name | Mr. SUNIL TIWARI | Contact No | |
| Address | 243 SIMLA SATGHARA ROAD RISHRA M 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||