Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 13888 | Date 22/12/2025 |
| Token No | SM/25-26/3085 22/12/2025 | Serial | 023 |
| Patient Name | Mr. RAGHUBANSH KUMAR | Contact No | 6291199650 |
| Address | ALCOVE T2 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||