Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 07262 | Date 29/06/2024 |
| Token No | SM/24-25/27421 31/08/2024 | Serial | 009 |
| Patient Name | Mr. GOUTAM KUMAR ROY | Contact No | 9836616073 |
| Address | 43/23 PRAVASHNAGAR SERAMPORE 712249 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||