Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02464 | Date 17/08/2022 |
| Token No | SM/22-23/2059 17/08/2022 | Serial | 003 |
| Patient Name | Mr. BABAN PRASAD | Contact No | 7044338884 |
| Address | 99/B/A PRABASHNAGAR SERAMPORE 712249 | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||