Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05340 | Date 05/10/2023 |
| Token No | SM/22-23/13960 05/10/2023 | Serial | 023 |
| Patient Name | Mr. MD IKBAL | Contact No | 9331260378 |
| Address | 24 PARSHI LANE SERAMPORE 712201 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||