Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03143 | Date 14/11/2022 |
| Token No | SM/22-23/4405 14/11/2022 | Serial | 037 |
| Patient Name | Mr. SAMBHU NATH PRAJAPATI | Contact No | 8240831012 |
| Address | 97/P/18 PRAVASHNAGAR SERAMPORE 712249 | Age | 40 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||