Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09649 | Date 17/07/2023 |
| Token No | SM/22-23/10951 17/07/2023 | Serial | 034 |
| Patient Name | Mr. SUMAN KALYAN ROY | Contact No | 9733951933 |
| Address | JANNAGAR ROAD, MAHESH | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||