Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05197 | Date 21/09/2023 |
| Token No | SM/24-25/28078 11/09/2024 | Serial | 034 |
| Patient Name | Mr. SURAJ GUPTA | Contact No | 9834032746 |
| Address | 118/3/A PROVASNAGAR SERAMPORE 712249 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||