Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04695 | Date 03/08/2023 |
| Token No | SM/22-23/11448 07/08/2023 | Serial | 016 |
| Patient Name | Mr. LALTU SINGH | Contact No | 7596926359 |
| Address | 10 G T ROAD SERAMPORE 712201 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||