Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08510 | Date 06/01/2025 |
| Token No | SM/24-25/33759 06/01/2025 | Serial | 039 |
| Patient Name | Mr. RAMESH PANDIT | Contact No | 9903865182 |
| Address | 681 S K NAGAR RISHRA PRAVASHNAGAR 712249 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||