Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03837 | Date 25/02/2023 |
| Token No | SM/22-23/7073 25/02/2023 | Serial | 014 |
| Patient Name | Mr. SANJU PANDEY | Contact No | 7044628857 |
| Address | 9/493 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||