Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 13698 | Date 03/11/2025 |
| Token No | SM/25-26/2486 03/11/2025 | Serial | 022 |
| Patient Name | Mr. ROSHON KUMAR | Contact No | 8092973280 |
| Address | BHAGIRATHI LANE | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||