Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06108 | Date 27/01/2024 |
| Token No | SM/22-23/19182 28/02/2024 | Serial | 051 |
| Patient Name | Mr. JAYANTA DASGUPTA | Contact No | 9433281512 |
| Address | 22/K/4 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 55 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||