Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03960 | Date 20/03/2023 |
| Token No | SM/22-23/7672 20/03/2023 | Serial | 009 |
| Patient Name | Mr. CHANDAN PASWAN | Contact No | 9007141919 |
| Address | 1045 S K NAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||