Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01023 | Date 19/02/2020 |
| Token No | SM/24-25/28165 12/09/2024 | Serial | 043 |
| Patient Name | Mr. RAJKUMAR CHAKRABORTY | Contact No | 9883443146 |
| Address | 4 ROY GHAT LANE SERAMPORE 712201 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||