Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 13797 | Date 28/11/2025 |
| Token No | SM/25-26/2807 28/11/2025 | Serial | 004 |
| Patient Name | Mr. SANTOSH KUMAR | Contact No | 7980959473 |
| Address | DHANKAL MAHESH | Age | 33 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||