Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07228 | Date 28/06/2024 |
| Token No | SM/24-25/23994 28/06/2024 | Serial | 078 |
| Patient Name | Mr. RINKU KUMAR SINGH | Contact No | 9088091104 |
| Address | 4/2 RAI LAND ROAD SERAMPORE 712202 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||