Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05962 | Date 28/12/2023 |
| Token No | SM/24-25/30469 01/11/2024 | Serial | 019 |
| Patient Name | Mr. MUKESH SHAW | Contact No | 8420222009 |
| Address | CHAMBAL GHATI PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||