Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07773 | Date 30/08/2024 |
| Token No | SM/24-25/28627 23/09/2024 | Serial | 034 |
| Patient Name | Mr. ARJUN KUMAR BHARTI | Contact No | 9835262988 |
| Address | 97/H/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 24 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||