Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02941 | Date 19/10/2022 |
| Token No | SM/24-25/29698 21/10/2024 | Serial | 005 |
| Patient Name | Mr. DILIP GHOSH | Contact No | 9875371758 |
| Address | 43/14/4 PRABASHNAGAR SERAMPORE 712249 | Age | 49 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||