Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13196 | Date 03/07/2025 |
| Token No | SM/25-26/1076 03/07/2025 | Serial | 001 |
| Patient Name | Mr. RANJAN SINGH | Contact No | 9836906380 |
| Address | 40 R B SARANI | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||