Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04024 | Date 08/04/2023 |
| Token No | SM/22-23/8319 21/04/2023 | Serial | 003 |
| Patient Name | Mr. SWAPNANIL CHAKRABORTY | Contact No | 8961626234 |
| Address | 73A MALLICKPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||