Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07378 | Date 05/07/2024 |
| Token No | SM/24-25/24528 05/07/2024 | Serial | 078 |
| Patient Name | Mr. SUMAN DAS | Contact No | 9903459226 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||