Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05289 | Date 29/09/2023 |
| Token No | SM/22-23/14587 19/10/2023 | Serial | 007 |
| Patient Name | Mr. RAM BILASH SHAW | Contact No | 9804897283 |
| Address | 66/Y GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 63 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||