Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02959 | Date 21/10/2022 |
| Token No | SM/22-23/3687 21/10/2022 | Serial | 019 |
| Patient Name | Mr. AJOY HELA | Contact No | 9330702573 |
| Address | 97/H/8 PRABASHNAGAR SERAMPORE 712249 | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||