Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12622 | Date 06/02/2025 |
| Token No | SM/24-25/20850 06/02/2025 | Serial | 006 |
| Patient Name | Mr. RAMKISHAN PRASAD | Contact No | 7766966176 |
| Address | DEY STREET | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||