Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08527 | Date 10/01/2025 |
| Token No | SM/25-26/11173 29/11/2025 | Serial | 013 |
| Patient Name | Mr. VIJAY DUBEY | Contact No | 8100242299 |
| Address | 9/A/1/190 M J ROAD PROVASHNAGAR SERAMPRE 712249 | Age | 36 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||