Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05447 | Date 17/10/2023 |
| Token No | SM/22-23/14472 17/10/2023 | Serial | 015 |
| Patient Name | Mr. ABHISHEK SHAW | Contact No | 6290531242 |
| Address | 97/F/4/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||