Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13175 | Date 26/06/2025 |
| Token No | SM/25-26/997 26/06/2025 | Serial | 017 |
| Patient Name | Mr. SIDDHESH KUMAR SINGH | Contact No | 7998988823 |
| Address | 98 R.B. SARANI | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||