Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01734 | Date 28/05/2022 |
| Token No | SM/24-25/20939 20/04/2024 | Serial | 038 |
| Patient Name | Mr. SWAPAN KUMAR DAWAN | Contact No | 9432385474 |
| Address | 352/66/1/E/C R K ROAD BAIDYABATI M 712204 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||