Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09583 | Date 17/07/2025 |
| Token No | SM/25-26/5629 31/07/2025 | Serial | 030 |
| Patient Name | Mr. SHIVAM KUMAR PRASAD | Contact No | 8961118885 |
| Address | 22 S D MUKHERJEE LANE RISHRA M 712248 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||