Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01987 | Date 22/06/2022 |
| Token No | SM/22-23/3292 10/10/2022 | Serial | 003 |
| Patient Name | Mr. UMESH KUMAR SINGH | Contact No | 8902641641 |
| Address | B-4/205 SUBASHNAGAR HOUSING COMPLEX PRABASHNAGAR SERAMPORE 712249 | Age | 44 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||