Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07345 | Date 03/07/2024 |
| Token No | SM/24-25/24335 03/07/2024 | Serial | 056 |
| Patient Name | Mr. NANDA DULAL DAS | Contact No | 7890290147 |
| Address | 138 2NO RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||