Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13582 | Date 09/10/2025 |
| Token No | SM/25-26/2212 09/10/2025 | Serial | 013 |
| Patient Name | Mr. SASTHI MAJHI | Contact No | 8910521351 |
| Address | JHAUTALA | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||