Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08810 | Date 28/02/2025 |
| Token No | SM/24-25/36245 28/02/2025 | Serial | 056 |
| Patient Name | Mr. ADARSH KUMAR SINGH | Contact No | 7449980477 |
| Address | 22/C GANDHI SARAK RISHRA M 712248 | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||