Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 03884 | Date 04/03/2023 |
| Token No | SM/24-25/25688 29/07/2024 | Serial | 026 |
| Patient Name | Mr. GOPAL BHUIYA | Contact No | 8013284927 |
| Address | 97 J N LAHIRI ROAD SERAMPORE 712201 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||