Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06802 | Date 16/05/2024 |
| Token No | SM/25-26/4528 10/07/2025 | Serial | 023 |
| Patient Name | Mr. SUNIL GROVER | Contact No | 8981810358 |
| Address | 38 SK NAGAR RISHRA M 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||