Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 06967 | Date 10/06/2024 |
| Token No | SM/24-25/22991 10/06/2024 | Serial | 063 |
| Patient Name | Mr. SANJIB KUMAR | Contact No | 7480929283 |
| Address | 65/19/13 WEST JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||