Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08015 | Date 14/10/2024 |
| Token No | SM/24-25/29420 14/10/2024 | Serial | 025 |
| Patient Name | Mr. PINTU KUMAR PATWA | Contact No | 7890088540 |
| Address | 97/U/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||