Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05086 | Date 08/09/2023 |
| Token No | SM/25-26/5910 06/08/2025 | Serial | 028 |
| Patient Name | Mr. GANGASAGAR TIWARI | Contact No | 8777369147 |
| Address | 97/K/1 PRABASHNAGAR SERAMPORE 712249 | Age | 59 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||