Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 04975 | Date 28/08/2023 |
| Token No | SM/22-23/12406 28/08/2023 | Serial | 008 |
| Patient Name | Mr. BADAL SAHA | Contact No | 9477417053 |
| Address | 2/237 MAHESH COLONY SERAMPORE 712202 | Age | 63 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||