Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00583 | Date 20/12/2019 |
| Token No | SM/22-23/10498 13/07/2023 | Serial | 037 |
| Patient Name | Mr. BINOD KUMAR RAM | Contact No | 9883845645 |
| Address | 107/E PRABASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||