Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 05781 | Date 02/12/2023 |
| Token No | SM/22-23/16845 23/12/2023 | Serial | 004 |
| Patient Name | Mr. DEBASHISH BHOWMIK | Contact No | 9874581488 |
| Address | 45/B PRAVASHNAGAR SERAMPORE 712249 | Age | 54 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||