Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09852 | Date 01/09/2025 |
| Token No | SM/25-26/7211 01/09/2025 | Serial | 029 |
| Patient Name | Mr. MUNILAL PRAJAPATI | Contact No | 9231503645 |
| Address | M J ROAD MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||