Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08506 | Date 06/01/2025 |
| Token No | SM/24-25/35804 18/02/2025 | Serial | 006 |
| Patient Name | Mr. RAMSUKH | Contact No | 9163247576 |
| Address | 43/32/B/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||