Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15785 | Date 29/07/2025 |
| Token No | SM/25-26/4229 29/07/2025 | Serial | 005 Last Visit: 29/07/2025 |
| Patient Name | Mr. DHANSWAR SETH | Contact No | |
| Address | 1 NO K.D LANE | Age | 66 Years,5 Months,17 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||