Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06641 | Date 26/04/2024 |
| Token No | SM/24-25/21200 26/04/2024 | Serial | 021 |
| Patient Name | Mr. GOURANGA PAL | Contact No | 7980221066 |
| Address | 132/A RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 38 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||