Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05088 | Date 08/09/2023 |
| Token No | SM/22-23/12837 08/09/2023 | Serial | 026 |
| Patient Name | Mr. KANAIYA KUMAR | Contact No | 7003388692 |
| Address | 121 R B SARANI SERAMPORE 712201 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||