Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06968 | Date 10/06/2024 |
| Token No | SM/24-25/22997 10/06/2024 | Serial | 069 |
| Patient Name | Mr. DIP NARAYAN GUPTA | Contact No | 9830339504 |
| Address | 97/O/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||