Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01885 | Date 10/06/2022 |
| Token No | SM/22-23/6394 31/01/2023 | Serial | 005 |
| Patient Name | Mr. GOBINDA GUPTA | Contact No | 9088249682 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||