Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05476 | Date 19/10/2023 |
| Token No | SM/22-23/14647 20/10/2023 | Serial | 011 |
| Patient Name | Mr. DHANANJAY TIWARI | Contact No | 8240290936 |
| Address | 97/K/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||