Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08673 | Date 05/02/2025 |
| Token No | SM/24-25/35184 05/02/2025 | Serial | 076 |
| Patient Name | Mr. SURENDRA KUMAR CHAUDHURY | Contact No | 9239234511 |
| Address | 161/C MAHESH JANNAGAR ROAD PRAVASHNAGAR SERAMPORE 712249 | Age | 69 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||