Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03309 | Date 02/12/2022 |
| Token No | SM/22-23/15991 30/11/2023 | Serial | 039 |
| Patient Name | Mr. TAPAN DAS | Contact No | 7003983900 |
| Address | PROVASNAGAR SERAMPORE | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||