Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04202 | Date 20/05/2023 |
| Token No | SM/22-23/8977 20/05/2023 | Serial | 002 |
| Patient Name | Mr. SUDIP MONDAL | Contact No | 9903477746 |
| Address | 17/A/7 MIYAJAN DARJEE LANE SERAMPORE 712203 | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||