Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01734 | Date 28/05/2022 |
| Token No | SM/22-23/16291 09/12/2023 | Serial | 024 |
| Patient Name | Mr. SWAPAN KUMAR DAWAN | Contact No | 9432385474 |
| Address | 352/66/1/E/C R K ROAD BAIDYABATI M 712204 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||