Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01956 | Date 18/06/2022 |
| Token No | SM/24-25/26065 05/08/2024 | Serial | 080 |
| Patient Name | Mr. BINOD RAM | Contact No | 7209292346 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||