Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08010 | Date 14/10/2024 |
| Token No | SM/24-25/33735 06/01/2025 | Serial | 015 |
| Patient Name | Mr. SK RAJA | Contact No | 6291947667 |
| Address | 7 TARAPUKUR LANE CHAKAPARA SERAMPORE 712203 | Age | 31 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||