Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05068 | Date 05/09/2023 |
| Token No | SM/22-23/12756 05/09/2023 | Serial | 029 |
| Patient Name | Mr. UMESH SAHANI | Contact No | 7278942286 |
| Address | 107A GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||