Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02124 | Date 04/07/2022 |
| Token No | SM/24-25/21615 06/05/2024 | Serial | 038 |
| Patient Name | Mr. DHIRAJ MAHATO | Contact No | 9748984660 |
| Address | 1/A/36 S S ROAD EXTN RISHRA M HOOGHLY 712249 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||