Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05087 | Date 08/09/2023 |
| Token No | SM/22-23/13070 13/09/2023 | Serial | 020 |
| Patient Name | Mr. DAIPAYAN BHOWMICK | Contact No | 7439966257 |
| Address | 43/16/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||