Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01983 | Date 21/06/2022 |
| Token No | SM/22-23/14943 01/11/2023 | Serial | 025 |
| Patient Name | Mr. FRISHDEO SAH | Contact No | 8481047538 |
| Address | 10/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||