Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13297 | Date 25/07/2025 |
| Token No | SM/25-26/1399 25/07/2025 | Serial | 012 |
| Patient Name | Mr. PAPPU SHARMA.. | Contact No | 9007843887 |
| Address | 3B DEY STREET | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||