Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04822 | Date 14/08/2023 |
| Token No | SM/22-23/11817 14/08/2023 | Serial | 025 |
| Patient Name | Mr. DIPU PRASAD MAHATO | Contact No | 9748146281 |
| Address | 189 SHRIKRISHNANAGAR RISHRA M PRAVASHNAGAR SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||