Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12722 | Date 05/03/2025 |
| Token No | SM/24-25/21186 05/03/2025 | Serial | 004 |
| Patient Name | Mr. AKHILESH PANDEY | Contact No | 9432435557 |
| Address | 51 S.P.M. SARANI | Age | 36 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||