Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05256 | Date 26/09/2023 |
| Token No | SM/22-23/13588 26/09/2023 | Serial | 055 |
| Patient Name | Mr. SOURAV CHANDRA DEY | Contact No | 9875301288 |
| Address | 14/A/1/1/A HARIPARA LANE SERAMPORE 712203 | Age | 24 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||