Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07387 | Date 06/07/2024 |
| Token No | SM/25-26/9632 29/10/2025 | Serial | 025 |
| Patient Name | Mr. AKASH YADAV | Contact No | 6289759447 |
| Address | 97/N/9 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||