Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08664 | Date 05/02/2025 |
| Token No | SM/24-25/35126 05/02/2025 | Serial | 018 |
| Patient Name | Mr. PROBIR DUTTA | Contact No | 9681567460 |
| Address | 46 PANCHU GOPAL BHADURI SARANI SERAMPORE 712201 | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||