Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13272 | Date 23/07/2025 |
| Token No | SM/25-26/1333 23/07/2025 | Serial | 006 |
| Patient Name | Mr. SUSHIL KUMAR | Contact No | 9123651490 |
| Address | 103 R.B. SARANI | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||