Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09052 | Date 05/04/2025 |
| Token No | SM/25-26/283 05/04/2025 | Serial | 029 |
| Patient Name | Mr. MRINAL KUMAR GANGULY | Contact No | 9163332148 |
| Address | NABAGRAM C BLOCK BARO BEHERA KONNAGAR 712246 | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||