Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07767 | Date 29/08/2024 |
| Token No | SM/24-25/27333 29/08/2024 | Serial | 025 |
| Patient Name | Mr. GOPAL DAS | Contact No | 8617798309 |
| Address | 15 K M SHA STREET SERAMPORE 712201 | Age | 43 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||