Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03548 | Date 02/01/2023 |
| Token No | SM/22-23/5843 02/01/2023 | Serial | 024 |
| Patient Name | Mr. GANESH SHAW | Contact No | 6291168299 |
| Address | 9/1/A/104 M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 9 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||