Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06356 | Date 26/02/2024 |
| Token No | SM/22-23/19053 26/02/2024 | Serial | 026 |
| Patient Name | Mr. KANAI DEY | Contact No | 9836605813 |
| Address | SERAMPORE COLONY MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||