Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13527 | Date 15/09/2025 |
| Token No | SM/25-26/2061 15/09/2025 | Serial | 018 |
| Patient Name | Mr. ANATH BIHARI | Contact No | 9748396607 |
| Address | 9 RAM SITA LANE | Age | 53 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||