Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13188 | Date 30/06/2025 |
| Token No | SM/25-26/1034 30/06/2025 | Serial | 019 |
| Patient Name | Mr. ALOK KUMAR RAWAT | Contact No | 9830228661 |
| Address | 2/A/1 S.C. LAHA LANE, SIRISHTALA | Age | 21 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||