Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03586 | Date 09/01/2023 |
| Token No | SM/22-23/7019 23/02/2023 | Serial | 020 |
| Patient Name | Mr. NAGENDRA CHOWDHURY | Contact No | 9062961849 |
| Address | 56 ROYLAND ROAD SERAMPORE 712201 | Age | 49 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||