Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06935 | Date 05/06/2024 |
| Token No | SM/24-25/27143 24/08/2024 | Serial | 001 |
| Patient Name | Mr. DEVANAND PRASAD | Contact No | 7044017284 |
| Address | 80/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 65 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 100/60 mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||