Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04925 | Date 23/08/2023 |
| Token No | SM/22-23/12230 23/08/2023 | Serial | 035 |
| Patient Name | Mr. JIWANAND JHA | Contact No | 8013718134 |
| Address | 97/J PRABASHNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||