Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04287 | Date 08/06/2023 |
| Token No | SM/22-23/9390 08/06/2023 | Serial | 031 |
| Patient Name | Mr. RAJA SINGH | Contact No | 8902624522 |
| Address | 82/D GURU GARDEN ROAD SERAMPORE 712249 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||