Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 02343 | Date 29/07/2022 |
| Token No | SM/22-23/1692 29/07/2022 | Serial | 018 |
| Patient Name | Mr. SANDIP DAS | Contact No | 9836050446 |
| Address | 4 G T ROAD WEST SERAMPORE MALLICKPARA 712203 | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||