Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13491 | Date 08/09/2025 |
| Token No | SM/25-26/1957 08/09/2025 | Serial | 029 |
| Patient Name | Mr. TUSHAR SINGH | Contact No | 6291234048 |
| Address | 25A NOTUN BAGAN | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||