Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05152 | Date 15/09/2023 |
| Token No | SM/22-23/13149 15/09/2023 | Serial | 026 |
| Patient Name | Mr. RAJESH RAJAK | Contact No | 8013502530 |
| Address | 97/J/4 PRAVASHNAGAR SERAMPORE 712249 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||