Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01448 | Date 17/04/2020 |
| Token No | SM/25-26/9923 04/11/2025 | Serial | 021 |
| Patient Name | Mr. DILIP KUMAR SINGH | Contact No | 7890752715 |
| Address | 100/B SERAMPORE PRABASHNAGAR 712249 | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||