Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11283 | Date 14/03/2024 |
| Token No | SM/22-23/15272 14/03/2024 | Serial | 022 |
| Patient Name | Mr. BIKASH KUMAR RAM | Contact No | 6207827464 |
| Address | 3 G.T. ROAD, SERAMPORE | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||