Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03479 | Date 23/12/2022 |
| Token No | SM/24-25/22932 10/06/2024 | Serial | 004 |
| Patient Name | Mr. UTTAM KUMAR MONDAL | Contact No | 9830441593 |
| Address | GHORAMARA P SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||