Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07219 | Date 28/06/2024 |
| Token No | SM/24-25/23974 28/06/2024 | Serial | 058 |
| Patient Name | Mr. UTTAM DUTTA | Contact No | 9123855568 |
| Address | 38/B MALLICKPARA LANE SERAMPORE 712203 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||