Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07789 | Date 31/08/2024 |
| Token No | SM/25-26/970 21/04/2025 | Serial | 065 |
| Patient Name | Mr. SUVRA PRAKASH GHOSH | Contact No | 7003417121 |
| Address | 12/B MIYAJAN DARJI LANE MALLICKPARA SERAMPORE 712203 | Age | 37 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||