Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 08082 | Date 22/10/2024 |
| Token No | SM/24-25/29917 22/10/2024 | Serial | 090 |
| Patient Name | Mr. RAJ SINGH | Contact No | 9083649041 |
| Address | 24/25 BARAL BAGAN LANE SERAMPORE 712201 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||