Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05301 | Date 29/09/2023 |
| Token No | SM/22-23/13833 03/10/2023 | Serial | 006 |
| Patient Name | Mr. NETAI GHOSH | Contact No | 8961369891 |
| Address | 9/A G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 60 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||