Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07362 | Date 04/07/2024 |
| Token No | SM/24-25/25509 25/07/2024 | Serial | 021 |
| Patient Name | Mr. PANCHU GOPAL GOPE | Contact No | 6289056694 |
| Address | 168 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||