Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04279 | Date 06/06/2023 |
| Token No | SM/24-25/29839 22/10/2024 | Serial | 012 |
| Patient Name | Mr. RAJ KUMAR PRASAD | Contact No | 9163968426 |
| Address | 97/P/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 76 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||