Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02802 | Date 26/09/2022 |
| Token No | SM/22-23/3089 26/09/2022 | Serial | 058 |
| Patient Name | Mr. PARAS SINGH | Contact No | |
| Address | 75 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 41 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||