Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 12509 | Date 08/01/2025 |
| Token No | SM/24-25/20413 08/01/2025 | Serial | 005 |
| Patient Name | Mr. ARUP SIL | Contact No | 8017058472 |
| Address | NEHERU NAGAR COLONY | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||