Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04851 | Date 17/08/2023 |
| Token No | SM/22-23/11959 17/08/2023 | Serial | 042 |
| Patient Name | Mr. SANTOSH KUMAR PAL | Contact No | 9231262461 |
| Address | 244/A 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||