Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 04512 | Date 14/07/2023 |
| Token No | SM/25-26/2539 24/05/2025 | Serial | 030 |
| Patient Name | Mr. RANJIT KUMAR SAHA | Contact No | 9007981138 |
| Address | 46 SERAMPORE COLONY SERAMPORE 712203 | Age | 73 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||