Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03103 | Date 23/09/2019 |
| Token No | SM/25-26/2652 17/11/2025 | Serial | 016 |
| Patient Name | Mr. DUDHNATH SINGH | Contact No | 7595929103 |
| Address | DEY BARI | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||