Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 14814 | Date 27/08/2026 |
| Token No | SM/25-26/5610 27/08/2026 | Serial | 016 |
| Patient Name | Mr. TARAK KAIRI | Contact No | 9433329294 |
| Address | 14/B DR, K D B LANE | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||