Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 02229 | Date 15/07/2022 |
| Token No | SM/22-23/15994 30/11/2023 | Serial | 042 |
| Patient Name | Mr. LAKSHMI MAJHI | Contact No | 9874402055 |
| Address | 71/A J N LAHIRI ROAD SERAMPORE 712201 | Age | 46 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||