Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08401 | Date 17/12/2024 |
| Token No | SM/24-25/32857 17/12/2024 | Serial | 009 |
| Patient Name | Mr. SANAT KUMAR DAS | Contact No | 9874530525 |
| Address | 57/A PATUA PARA LANE SERAMPORE 712201 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||