Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02767 | Date 23/09/2022 |
| Token No | SM/22-23/2987 23/09/2022 | Serial | 051 |
| Patient Name | Mr. BIJOY KUMAR SINGH | Contact No | 9331016393 |
| Address | 65/N PRABASHNAGAR SERAMPORE 712249 | Age | 69 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 91 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||