Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00731 | Date 14/01/2020 |
| Token No | SM/25-26/1326 29/04/2025 | Serial | 005 |
| Patient Name | Mr. YOGENDAR SHAW | Contact No | 7439339080 |
| Address | 65/B PRABASHNAGAR SERAMPORE 712249 | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||