Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09222 | Date 06/05/2025 |
| Token No | SM/25-26/5914 06/08/2025 | Serial | 032 |
| Patient Name | Mr. RAJA PUSWAHA | Contact No | 9748861743 |
| Address | 87/1/A PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||