Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13109 | Date 12/06/2025 |
| Token No | SM/25-26/801 12/06/2025 | Serial | 026 |
| Patient Name | Mr. ANAND RAJBHAR | Contact No | 6291548051 |
| Address | 5 DOSTI LANE | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||