Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08462 | Date 27/12/2024 |
| Token No | SM/24-25/33289 27/12/2024 | Serial | 022 |
| Patient Name | Mr. GHANASHYAM MISHRA | Contact No | 7890501367 |
| Address | 3NO S S ROAD RISHRA M PRAVASHNAGAR 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||