Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08037 | Date 18/10/2024 |
| Token No | SM/25-26/4545 10/07/2025 | Serial | 040 |
| Patient Name | Mr. NIRAJ KUMAR | Contact No | 8252336376 |
| Address | SATGHARA SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||