Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05389 | Date 10/10/2023 |
| Token No | SM/22-23/14188 10/10/2023 | Serial | 022 |
| Patient Name | Mr. AMIT SINGH | Contact No | 6294626819 |
| Address | 66/D/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||