Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08263 | Date 22/11/2024 |
| Token No | SM/24-25/31633 22/11/2024 | Serial | 053 |
| Patient Name | Mr. TAPAS SARKAR | Contact No | 7980134012 |
| Address | 26/6 A K BANERJEE LANE KONNAGAR 712235 | Age | 41 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||