Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06070 | Date 17/01/2024 |
| Token No | SM/25-26/8812 08/10/2025 | Serial | 064 |
| Patient Name | Mr. MUNNA SINGH | Contact No | 8777087723 |
| Address | 1138 S K NAGAR GIRIDHARI WATER SUPPLY RISHRA 712248 | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||