Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07963 | Date 30/09/2024 |
| Token No | SM/24-25/28932 30/09/2024 | Serial | 030 |
| Patient Name | Mr. PREMNATH GUPTA | Contact No | 6289703239 |
| Address | 27 PRAVASNAGAR SERAMPORE M 712249 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||