Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05724 | Date 24/11/2023 |
| Token No | SM/22-23/15778 24/11/2023 | Serial | 015 |
| Patient Name | Mr. RABINDRA CHOWDHURY | Contact No | 6351000967 |
| Address | 56 RAYLAND ROAD SERAMPORE 712201 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||