Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06137 | Date 30/01/2024 |
| Token No | SM/22-23/17951 30/01/2024 | Serial | 040 |
| Patient Name | Mr. RAJENDRA PASWAN | Contact No | 9804470533 |
| Address | 172 NEW MAHESH SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||