Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04590 | Date 24/07/2023 |
| Token No | SM/22-23/10880 24/07/2023 | Serial | 048 |
| Patient Name | Mr. ASIT DEY | Contact No | 7685050523 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||