Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04904 | Date 22/08/2023 |
| Token No | SM/24-25/28903 30/09/2024 | Serial | 001 |
| Patient Name | Mr. RAJU RAJBHAR | Contact No | 7890826134 |
| Address | 10 B BARALBAGAN LANE 19 SERAMPORE 712201 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||