Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 10217 | Date 22/11/2025 |
| Token No | SM/25-26/10877 22/11/2025 | Serial | 092 |
| Patient Name | Mr. ARJUN YADAV | Contact No | 9903373660 |
| Address | 97/R PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||