Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 01323 | Date 31/03/2020 |
| Token No | SM/22-23/6877 16/02/2023 | Serial | 053 |
| Patient Name | Mr. ARUN SINGH | Contact No | 8017555686 |
| Address | 8 SIMLA SATGHARA ROAD PRABASHNAGAR RISHRA M 712249 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||