Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04455 | Date 06/07/2023 |
| Token No | SM/22-23/15940 29/11/2023 | Serial | 032 |
| Patient Name | Mr. AMIT DAS | Contact No | 9875698865 |
| Address | 101/E G T ROAD WEST SERAMPORE 712203 | Age | 40 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||