Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00233 | Date 24/09/2019 |
| Token No | SM/22-23/19415 04/03/2024 | Serial | 070 |
| Patient Name | Mr. SATYA NARAYAN SINGH | Contact No | 8420783740 |
| Address | 8/B/2 MAHESH JAN NAGAR ROAD SERAMPORE 712249 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||