Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03711 | Date 03/02/2023 |
| Token No | SM/22-23/19194 29/02/2024 | Serial | 003 |
| Patient Name | Mr. LOKENATH DAS | Contact No | 7890396710 |
| Address | 2/123 MAHESH COLONY SERAMPORE 712202 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||