Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03128 | Date 12/11/2022 |
| Token No | SM/22-23/4347 12/11/2022 | Serial | 003 |
| Patient Name | Mr. BHARAT TEWARI | Contact No | 6290317100 |
| Address | 751 S K NAGAR RISHRA PRABASHNAGAR SERAMPORE 712249 | Age | 51 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||