Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07665 | Date 13/08/2024 |
| Token No | SM/24-25/26556 13/08/2024 | Serial | 016 |
| Patient Name | Mr. BECHAN RAJBHAR | Contact No | 7003922127 |
| Address | 82/A GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||