Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05293 | Date 29/09/2023 |
| Token No | SM/25-26/221 04/04/2025 | Serial | 013 |
| Patient Name | Mr. UPENDRA TIWARI | Contact No | 9875477101 |
| Address | 97/H/5 PRABASHNAGAR SERAMPORE 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||