Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 01819 | Date 03/06/2022 |
| Token No | SM/22-23/346 03/06/2022 | Serial | 015 |
| Patient Name | Mr. SATYA NARAYAN PASWAN | Contact No | 7857861318 |
| Address | 30/62 TARAPUKUR LANE SERAMPORE 712203 | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||