Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08447 | Date 24/12/2024 |
| Token No | SM/24-25/35130 05/02/2025 | Serial | 022 |
| Patient Name | Mr. AJIT SAMANTA | Contact No | 8100979969 |
| Address | 21 NO TARAPUKUR LANE SERAMPORE 712203 | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||