Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06730 | Date 06/05/2024 |
| Token No | SM/24-25/21614 06/05/2024 | Serial | 037 |
| Patient Name | Mr. SANJAY NATH SHARMA | Contact No | 8100973005 |
| Address | 210/A RAJYADHARPUR GOVT COLONY MALLICKPARA SERAMPORE 712203 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||