Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06959 | Date 07/06/2024 |
| Token No | SM/24-25/22880 07/06/2024 | Serial | 056 |
| Patient Name | Mr. DEEPNARAYAN DAS | Contact No | 8910591868 |
| Address | 43/6 PRAVASHNAGAR SERAMPORE 712249 | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||