Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06286 | Date 15/02/2024 |
| Token No | SM/24-25/32163 03/12/2024 | Serial | 005 |
| Patient Name | Mr. DILIP DAS | Contact No | 9477611326 |
| Address | 41 S C CHATTERJEE SARANI MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||