Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03031 | Date 02/11/2022 |
| Token No | SM/22-23/3978 02/11/2022 | Serial | 029 |
| Patient Name | Mr. BIRENDAR THAKUR | Contact No | 9910736862 |
| Address | 97/U/2 PRABASHNAGAR SERAMPORE 712249 | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||