Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02677 | Date 09/09/2022 |
| Token No | SM/22-23/2634 09/09/2022 | Serial | 041 |
| Patient Name | Mr. JITENDER SINGH | Contact No | 7059397572 |
| Address | 8/B/7 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||