Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05565 | Date 03/11/2023 |
| Token No | SM/22-23/15056 03/11/2023 | Serial | 015 |
| Patient Name | Mr. DEEPAK RAJAK | Contact No | 9875341295 |
| Address | 97/H/2/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 21 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||