Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08829 | Date 06/03/2025 |
| Token No | SM/24-25/36627 08/03/2025 | Serial | 037 |
| Patient Name | Mr. ARIYAN JAISWAL | Contact No | 8777012409 |
| Address | 97/F/1 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||