Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 04102 | Date 27/04/2023 |
| Token No | SM/24-25/31017 13/11/2024 | Serial | 012 |
| Patient Name | Mr. SUNIL DAS | Contact No | 9830563756 |
| Address | 244/2 RAJYADHARPUR GOVT COLONY SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||