Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03835 | Date 25/02/2023 |
| Token No | SM/22-23/7065 25/02/2023 | Serial | 006 |
| Patient Name | Mr. SHANKAR HARIJAN | Contact No | 7450083341 |
| Address | 97/H/8 PRABASHNAGAR SERAMPORE 712249 | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||