Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04951 | Date 25/08/2023 |
| Token No | SM/22-23/12389 26/08/2023 | Serial | 035 |
| Patient Name | Mr. PRADEEP JAISWAL | Contact No | 8583899114 |
| Address | 97/H/4 PRABASHNAGAR SERAMPORE 712249 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||