Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02383 | Date 03/08/2022 |
| Token No | SM/22-23/1817 03/08/2022 | Serial | 010 |
| Patient Name | Mr. NEMAI DAS | Contact No | 7439269382 |
| Address | 43/6 PRABASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||