Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02166 | Date 06/07/2022 |
| Token No | SM/22-23/1154 06/07/2022 | Serial | 045 |
| Patient Name | Mr. ASHOK KUMAR TIWARI | Contact No | 9851292347 |
| Address | SUBASHNAGAR HOUSING COMPLEX PRABASHNAGAR SERAMPORE 712249 | Age | 58 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||