Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 09050 | Date 05/04/2025 |
| Token No | SM/25-26/268 05/04/2025 | Serial | 014 |
| Patient Name | Mr. B L SRIVASTAV | Contact No | 9681412234 |
| Address | 9/1/A M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 71 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||