Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02345 | Date 29/07/2022 |
| Token No | SM/24-25/27432 31/08/2024 | Serial | 020 |
| Patient Name | Mr. DHARMARAJ MONDAL | Contact No | 7044757347 |
| Address | PRABASHNAGAR SERAMPORE 712249 | Age | 20 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||