Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05021 | Date 01/09/2023 |
| Token No | SM/22-23/12558 01/09/2023 | Serial | 001 |
| Patient Name | Mr. BIRAJ DEBNATH | Contact No | 9163217397 |
| Address | 31 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 63 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||