Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07655 | Date 12/08/2024 |
| Token No | SM/25-26/11420 04/12/2025 | Serial | 019 |
| Patient Name | Mr. SHYAM KUMAR PRASAD | Contact No | 9836961362 |
| Address | 1/A/3A PRAVASHNAGAR RISHRA M 712249 | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||