Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01626 | Date 23/05/2022 |
| Token No | SM/22-23/5245 13/12/2022 | Serial | 004 |
| Patient Name | Mr. NAND KISHOR PRASAD | Contact No | 8515810024 |
| Address | 68 PRABASHNAGAR SERAMPORE HOOGHLY 712249 | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||