Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07550 | Date 31/07/2024 |
| Token No | SM/24-25/25799 31/07/2024 | Serial | 021 |
| Patient Name | Mr. SAWARMAL PUROHIT | Contact No | 9874019978 |
| Address | FL NO-102 SUBASHNAGAR HOUSING PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||