Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00341 | Date 05/11/2019 |
| Token No | SM/22-23/9146 27/05/2023 | Serial | 033 |
| Patient Name | Mr. KRISHNA SHAW | Contact No | 7890273493 |
| Address | 74 PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||