Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03625 | Date 16/12/2019 |
| Token No | SM/25-26/2254 11/10/2025 | Serial | 009 |
| Patient Name | Mr. KUNDAN SINGH | Contact No | 9123961463 |
| Address | BSNL TELEPHONE EXCHANGE | Age | 24 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||