Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09419 | Date 09/06/2025 |
| Token No | SM/25-26/3257 09/06/2025 | Serial | 082 |
| Patient Name | Mr. DHARMESH SINGH | Contact No | 7756992510 |
| Address | PRAVASHNAGAR SERAMPOE 712249 | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||