Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12026 | Date 30/08/2024 |
| Token No | SM/24-25/20410 08/01/2025 | Serial | 002 |
| Patient Name | Mr. MANTU KUMAR YADAV | Contact No | 6393439553 |
| Address | RAM SITA LANE | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||