Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02983 | Date 25/10/2022 |
| Token No | SM/22-23/3774 25/10/2022 | Serial | 016 |
| Patient Name | Mr. JAGANNATH SHAW | Contact No | 8481898087 |
| Address | 65 PRABASHNAGAR SERAMPORE 712249 | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||