Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05669 | Date 16/11/2023 |
| Token No | SM/22-23/15612 18/11/2023 | Serial | 004 |
| Patient Name | Mr. MAHESH SINGH | Contact No | 9748165903 |
| Address | 97/N/10 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||