Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04324 | Date 14/06/2023 |
| Token No | SM/22-23/9564 14/06/2023 | Serial | 014 |
| Patient Name | Mr. SANTOSH AGARWAL | Contact No | 9163171160 |
| Address | 5 NO MUSALMAN PARA LANE SERAMPORE 712201 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||