Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05845 | Date 12/12/2023 |
| Token No | SM/22-23/16390 12/12/2023 | Serial | 015 |
| Patient Name | Mr. RAMSURATH PRASAD | Contact No | 8583091033 |
| Address | 9/438 PRAVASHNAGAR SERAMPORE 712249 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||