Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05114 | Date 11/09/2023 |
| Token No | SM/22-23/12969 11/09/2023 | Serial | 049 |
| Patient Name | Mr. AGRAZ BHARTI | Contact No | 9007345879 |
| Address | 97/L/2 GURU GARDEN ROAD SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||