Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06631 | Date 25/04/2024 |
| Token No | SM/24-25/21164 25/04/2024 | Serial | 039 |
| Patient Name | Mr. ASHOK DAS | Contact No | 8100347757 |
| Address | 65/19/10 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 33 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||