Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09346 | Date 27/05/2025 |
| Token No | SM/25-26/2655 28/05/2025 | Serial | 002 |
| Patient Name | Mr. ANANDIT KUMAR MISHRA | Contact No | 7003559011 |
| Address | 11 NO S S ROAD RISHRA 712249 | Age | 15 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||