Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03845 | Date 01/03/2023 |
| Token No | SM/22-23/7215 03/03/2023 | Serial | 007 |
| Patient Name | Mr. FAGU YADAV | Contact No | 8927184848 |
| Address | 47/A/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||