Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08344 | Date 03/12/2024 |
| Token No | SM/24-25/32193 03/12/2024 | Serial | 035 |
| Patient Name | Mr. SANTOSH KUMAR SHARMA | Contact No | 8902403972 |
| Address | 2/81/1 S S ROAD RISHRA M 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||