Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06085 | Date 22/01/2024 |
| Token No | SM/22-23/17877 29/01/2024 | Serial | 041 |
| Patient Name | Mr. DULAL DEBNATH | Contact No | 9547203551 |
| Address | TALPUKUR SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||