Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06572 | Date 16/04/2024 |
| Token No | SM/24-25/20777 16/04/2024 | Serial | 010 |
| Patient Name | Mr. SANJOY SHAW | Contact No | 6289588489 |
| Address | 59/E MALLICKPARA LANE SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||