Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01760 | Date 30/05/2022 |
| Token No | SM/22-23/17255 06/01/2024 | Serial | 006 |
| Patient Name | Mr. NARAYAN HATUI | Contact No | 9163719701 |
| Address | 38 SANIPARA LANE MALLICKPARA SERAMPORE 712203 | Age | 77 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||