Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00027 | Date 07/09/2019 |
| Token No | SM/19-20/27 07/09/2019 | Serial | 005 |
| Patient Name | Mr. HARERAM TIWARI | Contact No | 9883670194 |
| Address | 97/K/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 79 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 41 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||