Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 02979 | Date 22/10/2022 |
| Token No | SM/22-23/20376 01/04/2024 | Serial | 031 |
| Patient Name | Mr. BINOD SAHANI | Contact No | 7278736005 |
| Address | 87/1/R GURU GARDEN ROAD SEAMPORE 712249 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||