Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02075 | Date 28/06/2022 |
| Token No | SM/22-23/1564 25/07/2022 | Serial | 018 |
| Patient Name | Mr. ARUN SINGH | Contact No | 9477570835 |
| Address | 8 SIMLA SATGHARA ROAD SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||