Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05192 | Date 21/09/2023 |
| Token No | SM/22-23/13341 21/09/2023 | Serial | 025 |
| Patient Name | Mr. ANAND KUMAR PRASAD | Contact No | 8276895447 |
| Address | 61/U G.T ROAD SERAMPORE 712203 | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||