Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08476 | Date 28/12/2024 |
| Token No | SM/24-25/33387 28/12/2024 | Serial | 051 |
| Patient Name | Mr. ARINDAM ROY | Contact No | 9330519058 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||