Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03797 | Date 20/02/2023 |
| Token No | SM/22-23/7981 04/04/2023 | Serial | 021 |
| Patient Name | Mr. MAHADEB SINGH | Contact No | 9681163466 |
| Address | 52/2 S K NAGAR NAYA BASTI RISHRA M PRABASHNAGAR 712249 | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||