Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03459 | Date 21/12/2022 |
| Token No | SM/24-25/21373 30/04/2024 | Serial | 022 |
| Patient Name | Mr. DEBNATH YADAV | Contact No | 9088553690 |
| Address | 43/27/A/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||