Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04292 | Date 09/06/2023 |
| Token No | SM/24-25/22855 07/06/2024 | Serial | 031 |
| Patient Name | Mr. KAILASH RABIDAS | Contact No | 9339665063 |
| Address | 448 GHORAMARA P SERAMPORE 712203 | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||