Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06379 | Date 06/03/2024 |
| Token No | SM/24-25/26609 14/08/2024 | Serial | 009 |
| Patient Name | Mr. BIKASH CHANDRA SHAW | Contact No | 9903530572 |
| Address | 97/F/5 PRAVASHNAGAR SERAMPORE 712249 | Age | 36 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||