Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05747 | Date 28/11/2023 |
| Token No | SM/22-23/15867 28/11/2023 | Serial | 004 |
| Patient Name | Mr. PRABHUNATH GUPTA | Contact No | 8481905335 |
| Address | SERAMPORE PACHU BAZAR LANE | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||