Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03961 | Date 20/03/2023 |
| Token No | SM/22-23/7673 20/03/2023 | Serial | 010 |
| Patient Name | Mr. AMRIT PASWAN | Contact No | 9007141919 |
| Address | 1045S K NAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 68 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||