Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00577 | Date 19/12/2019 |
| Token No | SM/19-20/1177 19/12/2019 | Serial | 001 |
| Patient Name | Mr. SATYENDAR KUMAR SHARMA | Contact No | 9831352425 |
| Address | 4B MALPARA LANE SERAMPORE M 712203 | Age | 31 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||