Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06806 | Date 16/05/2024 |
| Token No | SM/24-25/22031 16/05/2024 | Serial | 062 |
| Patient Name | Mr. BIKASH MAITY | Contact No | 8420176823 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||