Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12634 | Date 07/02/2025 |
| Token No | SM/24-25/20877 07/02/2025 | Serial | 013 |
| Patient Name | Mr. SUBODH RAI | Contact No | 8585876145 |
| Address | 74 DEY STREET | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||