Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01634 | Date 23/05/2022 |
| Token No | SM/22-23/56 23/05/2022 | Serial | 025 |
| Patient Name | Mr. LAB SHA | Contact No | 8478819210 |
| Address | 9 NO NAYA BASTI PRABASHNAGAR SERAMPORE 712249 | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||