Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04969 | Date 26/08/2023 |
| Token No | SM/22-23/12393 26/08/2023 | Serial | 039 |
| Patient Name | Mr. BIJENDRA KUMAR SINGH | Contact No | 8443080843 |
| Address | 8/B/7 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||