Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 06001 | Date 04/01/2024 |
| Token No | SM/22-23/17183 04/01/2024 | Serial | 016 |
| Patient Name | Mr. SHIB SANKAR DHUL | Contact No | |
| Address | 37 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 52 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||