Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08931 | Date 21/03/2025 |
| Token No | SM/24-25/37257 21/03/2025 | Serial | 048 |
| Patient Name | Mr. BISWAJIT PATRA | Contact No | 7439039475 |
| Address | 97/A/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||