Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08066 | Date 21/10/2024 |
| Token No | SM/25-26/4059 26/06/2025 | Serial | 079 |
| Patient Name | Mr. UMA SANKAR SINGH | Contact No | 7719747574 |
| Address | 9/1/A/53 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||