Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06364 | Date 01/03/2024 |
| Token No | SM/25-26/6069 08/08/2025 | Serial | 023 |
| Patient Name | Mr. ASHOK KUMAR SINGH | Contact No | 9748494404 |
| Address | C1/502 SUBHASNAGAR HOUSING COMPLEX PRAVASHNAGAR SERAMPORE 712249 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||