Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06182 | Date 05/02/2024 |
| Token No | SM/22-23/18358 08/02/2024 | Serial | 053 |
| Patient Name | Mr. SURAJIT NATH | Contact No | 8282825083 |
| Address | 114/G NABAGRAM SATGOP PARA LANE SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/100 mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||