Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05577 | Date 04/11/2023 |
| Token No | SM/24-25/28482 20/09/2024 | Serial | 032 |
| Patient Name | Mr. JAY PRAKASH PRASAD | Contact No | 8583091033 |
| Address | 9/438 PRAVASHNAGAR SERAMPORE 712249 | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||