Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08273 | Date 23/11/2024 |
| Token No | SM/24-25/31698 23/11/2024 | Serial | 064 |
| Patient Name | Mr. SAMBHA CHAKRABORTY | Contact No | 9239238681 |
| Address | 54A/2 MALLICKPARA LANE SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||