Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04141 | Date 04/05/2023 |
| Token No | SM/22-23/8609 04/05/2023 | Serial | 029 |
| Patient Name | Mr. MUKESH KUMAR GUPTA | Contact No | 7439363996 |
| Address | 122 PRAVASHNAGAR SERAMPORE 712249 | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||