Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05618 | Date 08/11/2023 |
| Token No | SM/22-23/15306 08/11/2023 | Serial | 019 |
| Patient Name | Mr. SWARNENDU DAS | Contact No | 7044257179 |
| Address | 113 G T ROAD WEST SERAMPORE MALLICKPARA 712203 | Age | 36 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||