Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05334 | Date 04/10/2023 |
| Token No | SM/22-23/14832 30/10/2023 | Serial | 053 |
| Patient Name | Mr. RUNU ROY CHOWDHURY | Contact No | 8240776707 |
| Address | 80/A G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||