Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 03582 | Date 09/01/2023 |
| Token No | SM/22-23/11879 16/08/2023 | Serial | 021 |
| Patient Name | Mr. PRONAB KUMAR PAUL | Contact No | 8100051171 |
| Address | 6/E LENIN SARANI SERAMPORE 712203 | Age | 67 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||