Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02642 | Date 06/09/2022 |
| Token No | SM/22-23/8171 12/04/2023 | Serial | 009 |
| Patient Name | Mr. ANIL KUMAR SINGH | Contact No | 9007781512 |
| Address | 97/I/1 PRABASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||