Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13583 | Date 09/10/2025 |
| Token No | SM/25-26/2215 09/10/2025 | Serial | 016 |
| Patient Name | Mr. ABHIMANYU KUMAR SHAH | Contact No | 7980599292 |
| Address | 74 DEY STREET | Age | 19 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||