Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08300 | Date 27/11/2024 |
| Token No | SM/24-25/31893 27/11/2024 | Serial | 042 |
| Patient Name | Mr. LOKNATH SAHA | Contact No | 8697627846 |
| Address | 51/B MALLICKPARA LANE SERAMPORE 712203 | Age | 50 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||