Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04538 | Date 19/07/2023 |
| Token No | SM/22-23/10854 24/07/2023 | Serial | 022 |
| Patient Name | Mr. PRAMOD CHOWDHURY | Contact No | 9330919112 |
| Address | 56 RAILAND ROAD SERAMPORE 712201 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||