Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 09683 | Date 02/08/2025 |
| Token No | SM/25-26/5718 02/08/2025 | Serial | 032 |
| Patient Name | Mr. JAGANNATH DHAR | Contact No | 9903175363 |
| Address | 22 JANNAGAR ROAD STADIAM GROUND MAHESH 1 712202 | Age | 44 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||