Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04013 | Date 24/08/2020 |
| Token No | SM/24-25/17015 20/06/2024 | Serial | 017 |
| Patient Name | Mr. CHANDAN SINGH | Contact No | 9903288631 |
| Address | 25 BORAL BAGAN LANE | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||