Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 06317 | Date 19/02/2024 |
| Token No | SM/22-23/18800 19/02/2024 | Serial | 078 |
| Patient Name | Mr. ASHOK KUMAR CHANDRA | Contact No | 7605826182 |
| Address | 1/B/A2 S S ROAD RISHRA M SERAMPORE 712249 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||