Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03593 | Date 09/01/2023 |
| Token No | SM/22-23/6032 09/01/2023 | Serial | 031 |
| Patient Name | Mr. RANJIT SINGH | Contact No | 9123871586 |
| Address | 165/A/A PRABASHNAGAR SERAMPORE 712249 | Age | 28 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||