Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08836 | Date 06/03/2025 |
| Token No | SM/24-25/36491 06/03/2025 | Serial | 097 |
| Patient Name | Mr. AJEET SINGH | Contact No | 9123700290 |
| Address | GHORAMARA SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||