Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07086 | Date 22/06/2024 |
| Token No | SM/25-26/20697 29/08/2026 | Serial | 006 |
| Patient Name | Mr. PANNALAL SHAW | Contact No | 8100246678 |
| Address | 97/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 66 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||