Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06283 | Date 15/02/2024 |
| Token No | SM/24-25/21001 22/04/2024 | Serial | 045 |
| Patient Name | Mr. PURNA GHOSH | Contact No | 8017797505 |
| Address | 3 NO SERAMPORE COLONY DAKSHIN RAJYADHARPUR MALLICKPARA SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||