Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02621 | Date 05/09/2022 |
| Token No | SM/22-23/12469 29/08/2023 | Serial | 004 |
| Patient Name | Mr. PRANBENDU CHATTARAJ | Contact No | 9088657028 |
| Address | 31/A TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 17 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||