Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04193 | Date 18/05/2023 |
| Token No | SM/22-23/15116 04/11/2023 | Serial | 003 |
| Patient Name | Mr. RAJ KUMAR DAS | Contact No | 7044726498 |
| Address | 107 GURU GARDEN ROAD SERAMPORE M 712249 | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||