Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05359 | Date 07/10/2023 |
| Token No | SM/22-23/16140 04/12/2023 | Serial | 030 |
| Patient Name | Mr. BAPAN DAS | Contact No | 9749784560 |
| Address | PRAVASNAGAR SERAMPORE 712249 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||