Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 05911 | Date 20/12/2023 |
| Token No | SM/22-23/16718 20/12/2023 | Serial | 005 |
| Patient Name | Mr. LALTA PRASAD RAJBHAR | Contact No | 7595906891 |
| Address | 27/105 K L GOSWAMI SARANI SERAMPORE 712202 | Age | 70 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||