Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07191 | Date 27/06/2024 |
| Token No | SM/25-26/7060 28/08/2025 | Serial | 069 |
| Patient Name | Mr. SANJEEV KUMAR SARMA | Contact No | 8100748721 |
| Address | 790/2 S K NAGAR JHAJI MORE RISHRA M 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||