Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04733 | Date 07/08/2023 |
| Token No | SM/22-23/11442 07/08/2023 | Serial | 010 |
| Patient Name | Mr. PRABIR MAKAL | Contact No | 9330397722 |
| Address | 8/A BRAJA DUTTA LANE SERAMPORE 712201 | Age | 53 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||