Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05715 | Date 23/11/2023 |
| Token No | SM/22-23/15757 23/11/2023 | Serial | 039 |
| Patient Name | Mr. SAJAN KUMAR SHREEVASTAV | Contact No | 9504685034 |
| Address | 1 NO HARIPARA LANE SERAMPORE 712203 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||