Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06284 | Date 15/02/2024 |
| Token No | SM/24-25/22747 05/06/2024 | Serial | 050 |
| Patient Name | Mr. ANANTA MANDAL | Contact No | 8420172550 |
| Address | 338/1 MAHESH COLONY SERAMPORE 712202 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||