Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07663 | Date 13/08/2024 |
| Token No | SM/25-26/11494 05/12/2025 | Serial | 024 |
| Patient Name | Mr. ROSHAN JHA | Contact No | 8479039001 |
| Address | 31 MAHESH BOSE PARA MAHESH COLONY 712201 | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||