Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10061 | Date 15/10/2025 |
| Token No | SM/25-26/9152 15/10/2025 | Serial | 041 |
| Patient Name | Mr. ANAND GIRI | Contact No | 8617211454 |
| Address | 900 S K NAGAR RISHRA M 712249 | Age | 24 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||