Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 02549 | Date 25/08/2022 |
| Token No | SM/22-23/10884 24/07/2023 | Serial | 052 |
| Patient Name | Mr. ASHOK SAHA | Contact No | 6290383319 |
| Address | 2/237 MAHESH COLONY SERAMPORE 712202 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||