Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07191 | Date 27/06/2024 |
| Token No | SM/25-26/22626 26/10/2026 | Serial | 016 |
| Patient Name | Mr. SANJEEV KUMAR SARMA | Contact No | 8100748721 |
| Address | 790/2 S K NAGAR JHAJI MORE RISHRA M 712249 | Age | 33 Years,1 Months,2 Days Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 121/69 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||