Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05461 | Date 17/10/2023 |
| Token No | SM/22-23/14637 20/10/2023 | Serial | 001 |
| Patient Name | Mr. BRIJ BHUSHAN PRASAD | Contact No | 8777056679 |
| Address | 99/C PRAVASHNAGAR SERAMPORE 712249 | Age | 48 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||