Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06335 | Date 22/02/2024 |
| Token No | SM/22-23/18973 23/02/2024 | Serial | 028 |
| Patient Name | Mr. BALI PASWAN | Contact No | 8013294647 |
| Address | 122 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||