Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04610 | Date 26/07/2023 |
| Token No | SM/22-23/11306 04/08/2023 | Serial | 001 |
| Patient Name | Mr. DULAL PAL | Contact No | 9863516030 |
| Address | 1 NO NIRANJANNAGAR CHANDANNAGAR 712136 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||