Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 07680 | Date 14/08/2024 |
| Token No | SM/24-25/32140 02/12/2024 | Serial | 058 |
| Patient Name | Mr. BISWANATH GHARAI | Contact No | 9062254166 |
| Address | 173/X TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||