Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00106 | Date 13/09/2019 |
| Token No | SM/22-23/19228 29/02/2024 | Serial | 037 |
| Patient Name | Mr. DHARAM RAJ TIWARI | Contact No | 6290765374 |
| Address | 97/K/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||