Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05159 | Date 16/09/2023 |
| Token No | SM/25-26/12562 31/12/2025 | Serial | 009 |
| Patient Name | Mr. AJAY PASWAN | Contact No | 8910341633 |
| Address | 3 D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 91 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||