Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01661 | Date 25/05/2022 |
| Token No | SM/22-23/101 25/05/2022 | Serial | 013 |
| Patient Name | Mr. BHARAT BHUSHAN PRASAD | Contact No | 8981121707 |
| Address | 99/C PRABASHNAGAR SERAMPORE 712249 | Age | 49 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||