Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06332 | Date 22/02/2024 |
| Token No | SM/22-23/20184 27/03/2024 | Serial | 010 |
| Patient Name | Mr. UMA SANKAR SHARMA | Contact No | 9875317458 |
| Address | 39/1 SHREE RAMKRISHNA ROAD RISHRA M 712248 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||