Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07819 | Date 04/09/2024 |
| Token No | SM/24-25/27661 04/09/2024 | Serial | 044 |
| Patient Name | Mr. DIPAK ROUTH | Contact No | 8276070933 |
| Address | 9/433 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||