Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04774 | Date 10/08/2023 |
| Token No | SM/22-23/11789 12/08/2023 | Serial | 040 |
| Patient Name | Mr. SUBHO MAJUMDER | Contact No | 9123836130 |
| Address | 39/A/1 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 92 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||