Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06788 | Date 15/05/2024 |
| Token No | SM/24-25/21951 15/05/2024 | Serial | 010 |
| Patient Name | Mr. ROHIT SHAW | Contact No | 8420222009 |
| Address | CHAMBAL GHATI PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||