Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05934 | Date 26/12/2023 |
| Token No | SM/22-23/16894 26/12/2023 | Serial | 021 |
| Patient Name | Mr. SURAJIT SIL | Contact No | 9804231868 |
| Address | 193/1 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||