Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04319 | Date 13/06/2023 |
| Token No | SM/22-23/9529 13/06/2023 | Serial | 007 |
| Patient Name | Mr. DEEP SARKAR | Contact No | 9903425841 |
| Address | 25/A/11 FIRINGI DANGA ROAD SERAMPORE 712203 | Age | 18 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||