Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05570 | Date 03/11/2023 |
| Token No | SM/22-23/15088 03/11/2023 | Serial | 047 |
| Patient Name | Mr. RAJESH SINGH | Contact No | 7450957122 |
| Address | 97/H/7 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||