Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02132 | Date 04/07/2022 |
| Token No | SM/22-23/1064 04/07/2022 | Serial | 031 |
| Patient Name | Mr. AJAY MONDAL | Contact No | 8777346280 |
| Address | 89 PRABASHNAGAR NEW POST OFFICE SERAMPORE 712249 | Age | 36 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||