Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06643 | Date 26/04/2024 |
| Token No | SM/24-25/21219 26/04/2024 | Serial | 040 |
| Patient Name | Mr. RITWIK DAS | Contact No | 9836775693 |
| Address | 190/2 RAJYADHARPUR 2NO GOVT COLONY SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||