Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03215 | Date 22/11/2022 |
| Token No | SM/22-23/4775 26/11/2022 | Serial | 022 |
| Patient Name | Mr. DHANANJAY GHOSH | Contact No | 8697353211 |
| Address | 65/A/1/A FIRINGI DANGA ROAD SERAMPORE 712203 | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 89 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||