Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06506 | Date 01/04/2024 |
| Token No | SM/24-25/21146 25/04/2024 | Serial | 021 |
| Patient Name | Mr. SUBHASIS DAS | Contact No | 9330907744 |
| Address | 48/A/2 RAY LAND ROAD SERAMPORE 712201 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||