Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01030 | Date 20/02/2020 |
| Token No | SM/22-23/13007 12/09/2023 | Serial | 031 |
| Patient Name | Mr. MANINDRA MONDAL | Contact No | 8100414854 |
| Address | 43/32/B GURU GARDEN ROAD SERAMPORE M 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||