Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07839 | Date 05/09/2024 |
| Token No | SM/25-26/4336 03/07/2025 | Serial | 034 |
| Patient Name | Mr. SARJU YADAV | Contact No | 6291058895 |
| Address | 55/A/29 PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||