Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01270 | Date 24/03/2020 |
| Token No | SM/22-23/16585 16/12/2023 | Serial | 018 |
| Patient Name | Mr. SAMIR MAJHI | Contact No | 8697353172 |
| Address | 6/A HARIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||