Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08102 | Date 26/10/2024 |
| Token No | SM/24-25/30151 26/10/2024 | Serial | 043 |
| Patient Name | Mr. RAJESH YADAV | Contact No | 9038117971 |
| Address | PASLOKI BARMANPARA MOREPUKUR RISHRA 712250 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||