Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13826 | Date 04/12/2025 |
| Token No | SM/25-26/2869 04/12/2025 | Serial | 004 |
| Patient Name | Mr. SONTU KHAN | Contact No | 9432752054 |
| Address | AKNAPARA DEY STREET | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||