Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09051 | Date 05/04/2025 |
| Token No | SM/25-26/282 05/04/2025 | Serial | 028 |
| Patient Name | Mr. JAGANMOY GHOSH | Contact No | 7980073708 |
| Address | 65/L F D ROAD MALLICKPARA SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||