Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08212 | Date 15/11/2024 |
| Token No | SM/24-25/31173 15/11/2024 | Serial | 016 |
| Patient Name | Mr. RITESH KUMAR CHOUDHARY | Contact No | 6204952905 |
| Address | 9/1/A/30 M J ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||