Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04059 | Date 17/04/2023 |
| Token No | SM/22-23/8256 17/04/2023 | Serial | 037 |
| Patient Name | Mr. ASHA NANDAN SINGH | Contact No | 9330538747 |
| Address | 9A/11 PRABAHNAGAR SERAMPORE 712249 | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||