Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04858 | Date 18/08/2023 |
| Token No | SM/24-25/23990 28/06/2024 | Serial | 074 |
| Patient Name | Mr. SOMNATH KOLEY | Contact No | 9330924523 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||