Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04118 | Date 28/04/2023 |
| Token No | SM/22-23/8486 28/04/2023 | Serial | 018 |
| Patient Name | Mr. DEBNATH DEY | Contact No | 9836518176 |
| Address | 8 NO GOYALA PARA LANE SERAMPORE 712201 | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||