Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09699 | Date 06/08/2025 |
| Token No | SM/25-26/5957 07/08/2025 | Serial | 002 |
| Patient Name | Mr. DANIEL KUJUR | Contact No | 9231831539 |
| Address | 72/B MAHESH JANNAGAR ROAD ROAD PRAVASNAGAR 712249 | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||