Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12716 | Date 03/03/2025 |
| Token No | SM/24-25/21157 03/03/2025 | Serial | 018 |
| Patient Name | Mr. BRIJESH YADAV | Contact No | 8777381026 |
| Address | 86 DEY STREET | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||