Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05680 | Date 17/11/2023 |
| Token No | SM/22-23/15600 17/11/2023 | Serial | 033 |
| Patient Name | Mr. TAPAS PATRA | Contact No | 9883606638 |
| Address | 32/B HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||