Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02729 | Date 19/09/2022 |
| Token No | SM/22-23/2846 19/09/2022 | Serial | 032 |
| Patient Name | Mr. RAM BACHAN THAKUR | Contact No | 7439740237 |
| Address | 881/4 PRABASHNAGAR SERAMPORE 712249 | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||