Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 06349 | Date 23/02/2024 |
| Token No | SM/24-25/24250 02/07/2024 | Serial | 054 |
| Patient Name | Mr. ASHOK JHA | Contact No | 9748696436 |
| Address | 34 B/41 B B GHOSH ROAD SUKANTA PALLY SERAMPORE 712203 | Age | 44 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||