Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00690 | Date 08/01/2020 |
| Token No | SM/25-26/3256 09/06/2025 | Serial | 081 |
| Patient Name | Mr. SURESH PASWAN | Contact No | 9903742910 |
| Address | 3 D CRUZE GARDEN LANE SERAMPORE 712203 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||