Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01835 | Date 08/06/2022 |
| Token No | SM/22-23/395 08/06/2022 | Serial | 009 |
| Patient Name | Mr. MUKESH KUMAR DUBEY | Contact No | 8820474114 |
| Address | 97/Z/4 PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||