Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06878 | Date 02/09/2022 |
| Token No | SM/22-23/8482 22/03/2023 | Serial | 029 |
| Patient Name | Mr. MONGAL CHAKRABORTY | Contact No | 7980589658 |
| Address | SERAMPORE COLLEGE | Age | 61 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||