Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02500 | Date 22/08/2022 |
| Token No | SM/22-23/12733 05/09/2023 | Serial | 006 |
| Patient Name | Mr. BISWANATH ROY | Contact No | 9903912645 |
| Address | 11 NO DULEPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||