Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03747 | Date 13/02/2023 |
| Token No | SM/22-23/19142 28/02/2024 | Serial | 011 |
| Patient Name | Mr. SWAPAN DAS | Contact No | 6290265709 |
| Address | 32/1 MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 39 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||