Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06295 | Date 17/02/2024 |
| Token No | SM/22-23/18698 17/02/2024 | Serial | 021 |
| Patient Name | Mr. SUBRATA CHAKRABORTY | Contact No | 9836333250 |
| Address | SATGHARA PASCHIMPARA SERAMPORE 712203 | Age | 48 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||