Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08213 | Date 15/11/2024 |
| Token No | SM/24-25/31177 15/11/2024 | Serial | 020 |
| Patient Name | Mr. RAJ KUMAR SINGH | Contact No | 6291772717 |
| Address | 97/L/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||