Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 14809 | Date 27/08/2026 |
| Token No | SM/25-26/5603 27/08/2026 | Serial | 009 |
| Patient Name | Mr. SATYANARAYAN APAT | Contact No | 9051651321 |
| Address | 571 G.T. ROAD MANIKTALA | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||