Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04226 | Date 26/05/2023 |
| Token No | SM/22-23/9098 26/05/2023 | Serial | 020 |
| Patient Name | Mr. SRIPAT PRAJAPATI | Contact No | 9163227965 |
| Address | 20/3 PRABASHNAGAR SERAMPORE 712249 | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||