Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04279 | Date 06/06/2023 |
| Token No | SM/25-26/22684 28/10/2026 | Serial | 001 |
| Patient Name | Mr. RAJ KUMAR PRASAD | Contact No | 9163968426 |
| Address | 97/P/9 PRAVASHNAGAR SERAMPORE 712249 | Age | 77 Years,9 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 48 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||