Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 03167 | Date 17/11/2022 |
| Token No | SM/24-25/22296 25/05/2024 | Serial | 012 |
| Patient Name | Mr. TAPAS SAHA | Contact No | 8981242505 |
| Address | 22/T/1 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||