Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07531 | Date 26/07/2024 |
| Token No | SM/24-25/28315 18/09/2024 | Serial | 017 |
| Patient Name | Mr. MANOJ TIWARI | Contact No | 9883932455 |
| Address | 42 NO S S ROAD PRAVASHNAGAR RISHRA M 712249 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||