Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00319 | Date 01/11/2019 |
| Token No | SM/22-23/8071 10/04/2023 | Serial | 005 |
| Patient Name | Mr. TANMOY PAL | Contact No | 9831448334 |
| Address | GHORAMARA P PURBAPARA SERAMPORE 712203 | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||