Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07487 | Date 19/07/2024 |
| Token No | SM/24-25/25216 19/07/2024 | Serial | 071 |
| Patient Name | Mr. CHITTARANJAN DEY | Contact No | 9123754952 |
| Address | GHORAMARA P BIBIRBER SERAMPORE 712203 | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||