Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05112 | Date 11/09/2023 |
| Token No | SM/22-23/13118 14/09/2023 | Serial | 026 |
| Patient Name | Mr. ANIL KUMAR RAY | Contact No | 9681510936 |
| Address | 14A/1 HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 77 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||