Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13593 | Date 11/10/2025 |
| Token No | SM/25-26/2247 11/10/2025 | Serial | 002 |
| Patient Name | Mr. OKIL SINGH | Contact No | 9875452590 |
| Address | INDIA JUTE MILL LINE | Age | 65 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||