Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04980 | Date 28/08/2023 |
| Token No | SM/22-23/12428 28/08/2023 | Serial | 030 |
| Patient Name | Mr. MANOJ KUMAR GUPTA | Contact No | 9883089015 |
| Address | 65/25/53 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||