Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08870 | Date 10/03/2025 |
| Token No | SM/24-25/36813 12/03/2025 | Serial | 001 |
| Patient Name | Mr. NEPAL SINGH | Contact No | 8017681714 |
| Address | 97/C PRAVASHNAGAR SERAMPORE 712249 | Age | 52 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||