Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05510 | Date 27/10/2023 |
| Token No | SM/22-23/14751 27/10/2023 | Serial | 023 |
| Patient Name | Mr. ROHIT RAY | Contact No | 9883620934 |
| Address | 74 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||