Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 07943 | Date 25/09/2024 |
| Token No | SM/24-25/28905 30/09/2024 | Serial | 003 |
| Patient Name | Mr. SHOLA RAJBHAR | Contact No | 8274979458 |
| Address | 10 NO RAILWAY QUATER SERAMPORE 712201 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||