Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05355 | Date 06/10/2023 |
| Token No | SM/22-23/14035 06/10/2023 | Serial | 040 |
| Patient Name | Mr. UDAY SANKAR SHAW | Contact No | 7980634144 |
| Address | 9/1/A/104 M J ROAD SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||