Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05534 | Date 31/10/2023 |
| Token No | SM/22-23/14876 31/10/2023 | Serial | 012 |
| Patient Name | Mr. RAMADHIN KUMAR | Contact No | 8777365955 |
| Address | 87/1/B PRAVASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||