Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01756 | Date 30/05/2022 |
| Token No | SM/22-23/238 30/05/2022 | Serial | 036 |
| Patient Name | Mr. HRITICK SINGH | Contact No | 8240282940 |
| Address | B8 402 SUBASHNAGAR SERAMPORE 712249 | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||