Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06944 | Date 05/06/2024 |
| Token No | SM/24-25/22750 05/06/2024 | Serial | 053 |
| Patient Name | Mr. SATYA NAYEK | Contact No | 8777033006 |
| Address | B/79/Y TARAPUKUR GOVT QUARTER MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 111 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||