Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 05674 | Date 17/11/2023 |
| Token No | SM/22-23/15576 17/11/2023 | Serial | 009 |
| Patient Name | Mr. KRISHNA KUMAR PANDEY | Contact No | 9831149910 |
| Address | 72/A/11 PRAVASHNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||