Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05648 | Date 11/11/2023 |
| Token No | SM/22-23/15454 11/11/2023 | Serial | 004 |
| Patient Name | Mr. ANUP RAJAK | Contact No | 7003921930 |
| Address | 97/H/2/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||