Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05616 | Date 08/11/2023 |
| Token No | SM/22-23/15297 08/11/2023 | Serial | 010 |
| Patient Name | Mr. SURESH KUMAR RAJAK | Contact No | 8697364258 |
| Address | 97/H/2 PRAVASHNAGAR SERAMPORE 712249 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||