Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05145 | Date 15/09/2023 |
| Token No | SM/22-23/13130 15/09/2023 | Serial | 007 |
| Patient Name | Mr. KAMLESH KUMAR THAKUR | Contact No | 6291188707 |
| Address | 203 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||