Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 04257 | Date 30/05/2023 |
| Token No | SM/22-23/9850 23/06/2023 | Serial | 012 |
| Patient Name | Mr. BHIM BHUINYA | Contact No | 8584073399 |
| Address | 1 JITEN LAHIRI ROAD SERAMPORE 712201 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||