Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02588 | Date 31/08/2022 |
| Token No | SM/22-23/4487 17/11/2022 | Serial | 010 |
| Patient Name | Mr. SUBHO DAS | Contact No | 7044949934 |
| Address | 43/6 PRAVASNAGAR SERAMPORE 712249 | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||