Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 08378 | Date 10/12/2024 |
| Token No | SM/25-26/5749 04/08/2025 | Serial | 006 |
| Patient Name | Mr. PRITAM KUMAR ROY | Contact No | 9163339333 |
| Address | 72/A/4/C MALLICKPARA LANE SERAMPORE 712203 | Age | 45 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||