Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13765 | Date 22/11/2025 |
| Token No | SM/25-26/2712 22/11/2025 | Serial | 010 |
| Patient Name | Mr. ARJUN THAKUR | Contact No | 9836989599 |
| Address | 3 PITAMBAR DEY LANE | Age | 55 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||