Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07303 | Date 01/07/2024 |
| Token No | SM/24-25/24195 01/07/2024 | Serial | 104 |
| Patient Name | Mr. RAJ KUMAR CHOWDHURY | Contact No | 9903335299 |
| Address | 43/D PRABASHNAGAR PURBAPARA SERAMPORE 712249 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||