Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06793 | Date 16/05/2024 |
| Token No | SM/24-25/21971 16/05/2024 | Serial | 002 |
| Patient Name | Mr. SHATRUDHAN TIWARI | Contact No | 9973669625 |
| Address | 108 PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||