Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05403 | Date 11/10/2023 |
| Token No | SM/22-23/14251 11/10/2023 | Serial | 023 |
| Patient Name | Mr. HARICHARAN DAS | Contact No | 9382404022 |
| Address | 55 NO ROYLAND ROAD SERAMPORE 712201 | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||