Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11085 | Date 01/02/2024 |
| Token No | SM/25-26/608 26/05/2025 | Serial | 016 |
| Patient Name | Mr. MAHENDAR THAKUR | Contact No | 8910841044 |
| Address | 84 DEY STREET. | Age | 75 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||