Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02751 | Date 22/09/2022 |
| Token No | SM/22-23/2927 22/09/2022 | Serial | 016 |
| Patient Name | Mr. BAIJANATH SINGH | Contact No | 9330181676 |
| Address | 93 S K NAGAR RISHRA M PRABASHNAGAR 712249 | Age | 47 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||