Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04285 | Date 08/06/2023 |
| Token No | SM/22-23/14063 07/10/2023 | Serial | 018 |
| Patient Name | Mr. SONU DAS | Contact No | 6290248832 |
| Address | 13 LAL BAHADUR SASTRI ROAD SERAMPORE 712201 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||