Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09684 | Date 02/08/2025 |
| Token No | SM/25-26/5721 02/08/2025 | Serial | 035 |
| Patient Name | Mr. KUSHESHWAR PASWAN | Contact No | 7890191738 |
| Address | 97/O/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 80 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||