Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13274 | Date 23/07/2025 |
| Token No | SM/25-26/1336 23/07/2025 | Serial | 009 |
| Patient Name | Mr. ADESH RAI | Contact No | 8481875161 |
| Address | 96 R.B. SARANI | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||