Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00085 | Date 12/09/2019 |
| Token No | SM/22-23/6992 22/02/2023 | Serial | 005 |
| Patient Name | Mr. RAMESH CHANDRA SHAW | Contact No | 8420291433 |
| Address | 97/F/5 PRABASHNAGAR SERAMPORE 712249 | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||