Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06852 | Date 24/05/2024 |
| Token No | SM/25-26/1178 25/04/2025 | Serial | 011 |
| Patient Name | Mr. AMIT SINGH | Contact No | 8697136784 |
| Address | 2 NO RAIL GATE BANGUR PARK RISHRA 712248 | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||