Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06095 | Date 24/01/2024 |
| Token No | SM/22-23/17747 24/01/2024 | Serial | 043 |
| Patient Name | Mr. MITHILESH SINGH | Contact No | 6290184456 |
| Address | 43/20/E PRAVASHNAGAR SERAMPORE 712249 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||