Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 12632 | Date 07/02/2025 |
| Token No | SM/25-26/3120 29/12/2025 | Serial | 026 |
| Patient Name | Mr. DEODHAR PRASAD | Contact No | 6290932477 |
| Address | 163 G.T. ROAD, DEY BAGAN | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||