Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05928 | Date 23/12/2023 |
| Token No | SM/22-23/16866 23/12/2023 | Serial | 025 |
| Patient Name | Mr. PRIYAM DAS | Contact No | 8013509653 |
| Address | 104/B G T ROAD WEST MALLICKPARA SERAMPORE 712203 | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||