Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09755 | Date 14/08/2025 |
| Token No | SM/25-26/6390 14/08/2025 | Serial | 049 |
| Patient Name | Mr. KANHAIYA KUMAR OJHA | Contact No | 7003167443 |
| Address | 62 PRAVASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||