Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03503 | Date 27/12/2022 |
| Token No | SM/22-23/5660 27/12/2022 | Serial | 018 |
| Patient Name | Mr. BIKASH RAM KAHAR | Contact No | 8100979660 |
| Address | 75 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 39 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||