Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10029 | Date 08/10/2025 |
| Token No | SM/25-26/8830 09/10/2025 | Serial | 014 |
| Patient Name | Mr. LALAN PRASAD SHAW | Contact No | 8697182091 |
| Address | 39 SK NAGAR RISHRA 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||