Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 03879 | Date 04/03/2023 |
| Token No | SM/22-23/11278 03/08/2023 | Serial | 019 |
| Patient Name | Mr. SAMARPAN SANYAL | Contact No | 7439730648 |
| Address | 1/338 MAHESH COLONY SERAMPORE 712202 | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||