Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08678 | Date 06/02/2025 |
| Token No | SM/24-25/35247 06/02/2025 | Serial | 056 |
| Patient Name | Mr. KAMAL KRISHNA CHAKRABORTY | Contact No | 9432715089 |
| Address | 22/24/35 F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||