Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05981 | Date 02/01/2024 |
| Token No | SM/22-23/17202 04/01/2024 | Serial | 035 |
| Patient Name | Mr. NANDJI DUBEY | Contact No | 7384104273 |
| Address | PROVASNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||