Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05518 | Date 30/10/2023 |
| Token No | SM/22-23/14875 31/10/2023 | Serial | 011 |
| Patient Name | Mr. DIN DAYAL PASWAN | Contact No | 8420235711 |
| Address | 50/D/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||