Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13125 | Date 16/06/2025 |
| Token No | SM/25-26/843 16/06/2025 | Serial | 008 |
| Patient Name | Mr. MD JAVED | Contact No | 9874606552 |
| Address | 34/1 GANDHI SARAK RISHRA | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||