Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02960 | Date 21/10/2022 |
| Token No | SM/22-23/3688 21/10/2022 | Serial | 020 |
| Patient Name | Mr. ROHIT KUMAR DUBEY | Contact No | 6290872701 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||