Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08989 | Date 10/05/2023 |
| Token No | SM/24-25/15974 25/04/2024 | Serial | 012 |
| Patient Name | Mr. PRASENJIT GHOSH | Contact No | 7980377446 |
| Address | SERAMPORE JOLKOL | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||