Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12349 | Date 16/11/2024 |
| Token No | SM/24-25/19743 16/11/2024 | Serial | 001 |
| Patient Name | Mr. MD HADISH | Contact No | 9062313698 |
| Address | 5/B/3/1 DEY STREET, SERAMPORE COLLEGE | Age | 50 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||