Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05632 | Date 09/11/2023 |
| Token No | SM/22-23/15367 09/11/2023 | Serial | 026 |
| Patient Name | Mr. RAVISHANKAR SAHANI | Contact No | 9804848523 |
| Address | 87/1/R GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||