Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06779 | Date 14/05/2024 |
| Token No | SM/25-26/5529 29/07/2025 | Serial | 027 |
| Patient Name | Mr. GOBIND TIWARY | Contact No | 9760008567 |
| Address | 108 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||