Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04463 | Date 07/07/2023 |
| Token No | SM/22-23/10282 07/07/2023 | Serial | 017 |
| Patient Name | Mr. SUBIMAL CHAKRABORTY | Contact No | 8296390343 |
| Address | 47/A SERAMPORE COLONY SERAMPORE M 712203 | Age | 30 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||