Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08036 | Date 17/10/2024 |
| Token No | SM/24-25/29574 17/10/2024 | Serial | 063 |
| Patient Name | Mr. HIRA LAL PRASAD | Contact No | 8777890307 |
| Address | 66/C/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||