Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08312 | Date 28/11/2024 |
| Token No | SM/24-25/31956 28/11/2024 | Serial | 033 |
| Patient Name | Mr. YOGENDRA MAHATO | Contact No | 9088422757 |
| Address | 65/22/2 GURU GARDEN ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||