Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12965 | Date 07/05/2025 |
| Token No | SM/25-26/379 07/05/2025 | Serial | 001 |
| Patient Name | Mr. SAMIR DUTTA. | Contact No | 9007139941 |
| Address | BAHIR SERAMPORE | Age | 76 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||