Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05437 | Date 16/10/2023 |
| Token No | SM/22-23/15628 18/11/2023 | Serial | 020 |
| Patient Name | Mr. DILIP KAPAR | Contact No | 9831383880 |
| Address | 65/B/3/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||