Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03978 | Date 23/03/2023 |
| Token No | SM/22-23/7751 23/03/2023 | Serial | 015 |
| Patient Name | Mr. SUNIL DAS | Contact No | 9331376647 |
| Address | 70/A PATUA PARA LANE SERAMPORE 712201 | Age | 43 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||