Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05544 | Date 01/11/2023 |
| Token No | SM/24-25/28275 17/09/2024 | Serial | 012 |
| Patient Name | Mr. CHIRAG SINGH | Contact No | 6290753873 |
| Address | 87/1/B PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||