Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09592 | Date 21/07/2025 |
| Token No | SM/25-26/5020 21/07/2025 | Serial | 003 |
| Patient Name | Mr. DILIP KUMAR SINGH | Contact No | 9831705232 |
| Address | 9/1/A/83 PRAVASHNAGAR SERAMPORE 712249 | Age | 74 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||