Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05666 | Date 16/11/2023 |
| Token No | SM/22-23/15551 16/11/2023 | Serial | 034 |
| Patient Name | Mr. BRIJESH KUMAR TIWARI | Contact No | 9830048788 |
| Address | 97/U/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 105 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||