Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06859 | Date 25/05/2024 |
| Token No | SM/24-25/22314 25/05/2024 | Serial | 030 |
| Patient Name | Mr. JITENDAR TIWARI | Contact No | 9088495201 |
| Address | 97/H/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||