Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09723 | Date 09/08/2025 |
| Token No | SM/25-26/6119 09/08/2025 | Serial | 019 |
| Patient Name | Mr. RAM BEHARI YADAV | Contact No | 9088365756 |
| Address | B-8/411 161 M J ROAD SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||