Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09448 | Date 13/06/2025 |
| Token No | SM/25-26/3725 19/06/2025 | Serial | 017 |
| Patient Name | Mr. ANUP KUMAR PATRA | Contact No | 7439039475 |
| Address | 97/A/1 MALLICKPARA LANE SERAMPORE 712203 | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||