Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08767 | Date 21/02/2025 |
| Token No | SM/24-25/35944 21/02/2025 | Serial | 020 |
| Patient Name | Mr. AMIT KUMAR VERMA | Contact No | 9681488170 |
| Address | 807 S K NAGAR PRAVASHNAGAR RISHRA M 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||