Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07603 | Date 07/08/2024 |
| Token No | SM/24-25/26188 07/08/2024 | Serial | 063 |
| Patient Name | Mr. AJIT MAJHI | Contact No | 7980130741 |
| Address | 129 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||