Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08231 | Date 19/11/2024 |
| Token No | SM/24-25/32625 10/12/2024 | Serial | 055 |
| Patient Name | Mr. SURESH KUMAR VALMIKI | Contact No | 9681166530 |
| Address | 404 GURU GARDEN ROAD SUBASHNAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||