Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05653 | Date 14/11/2023 |
| Token No | SM/24-25/28860 28/09/2024 | Serial | 017 |
| Patient Name | Mr. ANURAG SHAW | Contact No | 8334818527 |
| Address | 65 PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||