Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08818 | Date 03/03/2025 |
| Token No | SM/25-26/209 04/04/2025 | Serial | 001 |
| Patient Name | Mr. SHEOJI PANDEY | Contact No | 7003227495 |
| Address | 97/Q/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||