Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09167 | Date 24/04/2025 |
| Token No | SM/25-26/1139 24/04/2025 | Serial | 040 |
| Patient Name | Mr. DILIP KUMAR SINGH | Contact No | 8420924766 |
| Address | 377 S K NAGAR RISHRA M 712248 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||