Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05769 | Date 01/12/2023 |
| Token No | SM/22-23/16011 01/12/2023 | Serial | 011 |
| Patient Name | Mr. ANIL PATWA | Contact No | 6289181454 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||