Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02170 | Date 06/07/2022 |
| Token No | SM/22-23/1166 06/07/2022 | Serial | 057 |
| Patient Name | Mr. SUDIP KUMAR SINGH | Contact No | 8229926969 |
| Address | 97/N/9 PRABASHNAGAR SERAMPORE 712249 | Age | 36 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||