Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 07598 | Date 07/08/2024 |
| Token No | SM/24-25/26130 07/08/2024 | Serial | 005 |
| Patient Name | Mr. SWAPAN MONDAL | Contact No | 6291523180 |
| Address | 68 NEW MAHESH SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||