Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11572 | Date 27/05/2024 |
| Token No | SM/25-26/2310 16/10/2025 | Serial | 002 |
| Patient Name | Mr. MAHADEO PRASAD | Contact No | 8777584619 |
| Address | MANIKTALA | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||