Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13384 | Date 14/08/2025 |
| Token No | SM/25-26/6072 27/10/2026 | Serial | 001 |
| Patient Name | Mr. SOMNATH SINGH | Contact No | 6291381470 |
| Address | BSNL OFFICE STAFF | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||