Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06980 | Date 11/06/2024 |
| Token No | SM/24-25/23037 11/06/2024 | Serial | 033 |
| Patient Name | Mr. SWAPAN DAS | Contact No | 7596923374 |
| Address | 65/25/37 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||