Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13242 | Date 17/07/2025 |
| Token No | SM/25-26/1256 17/07/2025 | Serial | 002 |
| Patient Name | Mr. GAJENDRA SINGH | Contact No | 7044728123 |
| Address | 90/C DEY STREET | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||