Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05484 | Date 20/10/2023 |
| Token No | SM/25-26/2049 15/05/2025 | Serial | 012 |
| Patient Name | Mr. LALMUNI SINGH | Contact No | 9883329797 |
| Address | 43/46/D PRAVASHNAGAR SERAMPORE 712249 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 164/86 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||