Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05710 | Date 23/11/2023 |
| Token No | SM/22-23/15732 23/11/2023 | Serial | 014 |
| Patient Name | Mr. ASOK KUMAR PARAMANIK | Contact No | 9832850118 |
| Address | 56 JITEN LAHIRI ROAD SERAMPORE 712202 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||