Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07299 | Date 01/07/2024 |
| Token No | SM/24-25/24162 01/07/2024 | Serial | 071 |
| Patient Name | Mr. DHARMENDRA KUMAR | Contact No | 9304251561 |
| Address | 5/1/Z DINABANDHU CHATTERHEE LANE SERAMPORE | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||