Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05667 | Date 16/11/2023 |
| Token No | SM/22-23/15555 16/11/2023 | Serial | 038 |
| Patient Name | Mr. SIDDHARTHA SIULY | Contact No | 7044346459 |
| Address | 5 B TARAPUKUR COLONY SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||