Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12739 | Date 06/03/2025 |
| Token No | SM/24-25/21220 06/03/2025 | Serial | 006 |
| Patient Name | Mr. CHANDRASEKHAR PRASAD. | Contact No | 9007140712 |
| Address | L B S ROAD | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||