Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03849 | Date 02/03/2023 |
| Token No | SM/22-23/7166 02/03/2023 | Serial | 007 |
| Patient Name | Mr. RANJIT BHATTACHARJEE | Contact No | 6290573598 |
| Address | 22/24/5 F D ROAD SERAMPORE MALLICKPARA 712203 | Age | 75 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||