Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01420 | Date 15/04/2020 |
| Token No | SM/24-25/27026 22/08/2024 | Serial | 030 |
| Patient Name | Mr. RAJ BAHADUR PRASAD | Contact No | 6290126445 |
| Address | 97/Z/3 PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||