Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05092 | Date 08/09/2023 |
| Token No | SM/22-23/12854 08/09/2023 | Serial | 043 |
| Patient Name | Mr. UMESH PATEL | Contact No | 9263459451 |
| Address | 10/B HARIPARA LANE SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||