Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05390 | Date 10/10/2023 |
| Token No | SM/22-23/14189 10/10/2023 | Serial | 023 |
| Patient Name | Mr. SHAMBHUNATH DAS | Contact No | 9339372209 |
| Address | 37 TARAPUKUR LANE MALLICKPARA SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||