Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01743 | Date 30/05/2022 |
| Token No | SM/22-23/6493 02/02/2023 | Serial | 016 |
| Patient Name | Mr. BIRU DAS | Contact No | 7449524124 |
| Address | 48A/2 S P MUKHERJEE SARANI SERAMPORE 712201 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||