Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08828 | Date 06/03/2025 |
| Token No | SM/24-25/36454 06/03/2025 | Serial | 060 |
| Patient Name | Mr. AJIT SRIBASTAV | Contact No | 9748862851 |
| Address | 68 PRAVASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 160/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||