Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03803 | Date 20/02/2023 |
| Token No | SM/22-23/10436 12/07/2023 | Serial | 016 |
| Patient Name | Mr. SRIKABAL PASWAN | Contact No | 8961725066 |
| Address | 55 RAILAND ROAD SERAMPORE 712201 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||