Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05738 | Date 25/11/2023 |
| Token No | SM/22-23/15839 25/11/2023 | Serial | 033 |
| Patient Name | Mr. RAHUL RAY | Contact No | 8420169129 |
| Address | 74 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||