Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07382 | Date 06/07/2024 |
| Token No | SM/24-25/24773 10/07/2024 | Serial | 007 |
| Patient Name | Mr. VOLA MAN | Contact No | 9163622104 |
| Address | 4 SITAL SARKAR LANE MAHESH SERAMPORE 712202 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||