Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04404 | Date 01/07/2023 |
| Token No | SM/22-23/12794 07/09/2023 | Serial | 022 |
| Patient Name | Mr. TAPAN DAS | Contact No | 9830767572 |
| Address | H/L NO 104/B G T ROAD WEST SERAMPORE 712203 | Age | 66 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||