Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05157 | Date 16/09/2023 |
| Token No | SM/22-23/16579 16/12/2023 | Serial | 012 |
| Patient Name | Mr. RAM PRASAD | Contact No | 7686980471 |
| Address | 60/D PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||