Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09976 | Date 16/08/2023 |
| Token No | SM/25-26/2936 09/12/2025 | Serial | 009 |
| Patient Name | Mr. JAY KISHAN PASWAN | Contact No | 9073583182 |
| Address | 6D/191 S B GHOSH LANE | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||