Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10447 | Date 21/09/2023 |
| Token No | SM/22-23/12563 21/09/2023 | Serial | 013 |
| Patient Name | Mr. PRASENJIT BISWAS | Contact No | 7044354845 |
| Address | SERAMPORE COLLEGE, WILLAM CAREY ROAD | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||